National Provider Identifier Database

ANDREW JACONO MD PLLC
Plastic and Reconstructive Surgery


Contact Information

ANDREW JACONO MD PLLC
440 NORTHERN BLVD
GREAT NECK, NY11021-4813
Phone: 516-773-4646
Fax: 516-773-1360
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for ANDREW JACONO MD PLLC

NPI Number 1134352024
Legal business name
LBN
ANDREW JACONO MD PLLC
Authorized official ANDREW JACONO - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 08/26/2009
Last updated 08/26/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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