John V Celentano Phys, PC
Organization Active NPI Family Medicine Physician · East Moriches, NY
NPI 1033300751 · NPPES record last updated Apr 22, 2008
Key facts
- NPI
- 1033300751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- JOHN V CELENTANO PHYS, PC
- Practice address
- 516 Montauk Hwy
East Moriches, NY 11940-1225 - Phone
- (631) 874-2900
- Fax
- (631) 874-2948
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John V Celentano, M.D.
- Title
- President
- Phone
- (631) 874-2900
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
516 Montauk Hwy
East Moriches, NY 11940-1225
Mailing address
516 Montauk Hwy
East Moriches, NY 11940-1225
Phone (631) 874-2900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02526378 | Medicaid | NY |
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All providers in East Moriches, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.