Anthony Piccinone, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

23004917 Issued in NY

Practice address

175 Jericho Tpke
Suite 217
Syosset, NY 11791-4532

Phone

(516) 682-0001

Fax

(516) 682-0004

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508915109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 217",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-682-0001",
            "fax_number": "516-682-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 217",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-682-0001",
            "fax_number": "516-682-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCINONE",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "23004917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Peterson, CRNA
• Bernadette Phelan
• Sydney D Phelan
• Phillip Fyman and Alexander Weingarten MD PC
• Gabrielle Lauren Piazza
• Dary Pichardo
• Iveline Pierre
• Elyse Pimsler, OTR/L
• Elyse Pine, MS/CCC-SLP
• Linda Pisano

• Medical Physician Assistant in Syosset, NY
• Providers in Syosset, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.