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Contact Information

ANGELO J PROCACCINO, MD
310 EAST SHORE ROAD
SUITE 203
GREAT NECK, NY11023
 Phone: 516-482-8657
 Fax: 516-829-0002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANGELO J PROCACCINO · (Male)

NPI Number 1861587461
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 158773
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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