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Contact Information

JUAN J GARGIULO, MD
365 COUNTY ROAD 39A
SUITE 15 & 16
SOUTHAMPTON, NY11968-5284
 Phone: 631-702-2300
 Fax: 631-702-2303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for JUAN J GARGIULO · (Male)

NPI # 1780639419
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 06/14/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 181791
  • NY Medicaid 01355302
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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