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Contact Information

DANIEL J CIAVARELLA, PA
93 CREST RD W
MERRICK, NY11566-1410
 Phone: 516-785-6529
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DANIEL J CIAVARELLA · (Male)

NPI # 1831445188
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/24/2012
Last updated 07/24/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 015690
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
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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