Dr. Anthony Massimillo
Gastroenterologist
300 Old Country Rd Ste 31
Mineola
, New York 11501-4112
Dr. Anthony Massimillo
Gastroenterologist
300 Old Country Rd Ste 31
Mineola
, New York 11501-4112
(516) 294-5351
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Anthony Massimillo
- 300 Old Country Rd Ste 31
- Mineola, NY
- Zip : 11501-4112
- Fax : (516) 294-5351
- Phone : (516) 294-9380
Second Address
- Dr. Anthony Massimillo
- 300 Old Country Rd Ste 31
- Mineola, NY
- Zip : 11501-4112
- Fax : (516) 294-5351
- Phone : (516) 294-9380
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 169701 | NY |
National Provider Identifier
| NPI | 1043277692 |
|---|---|
| Provider Name | Dr. Anthony Massimillo |
| First Address | Mineola, NY 11501-4112 |
| Second Address | Mineola, NY 11501-4112 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 27/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E87388 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.