ANTHONY VULTAGGIO
NPI 1013317775
Specialist in Ronkonkoma, NY
- Individual
- Male
- Specialist
About ANTHONY VULTAGGIO
This page provides the complete NPI Profile along with additional information for Anthony Vultaggio, a provider established in Ronkonkoma, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1013317775 assigned on September 2014. The practitioner's primary taxonomy code is 174400000X with license number 833098141 (NY). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1013317775 Verify this NPI
- Provider Name
- ANTHONY VULTAGGIO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 90 AIR PARK DR RONKONKOMA, NY 11779
- Location Phone
- (631) 580-4020
- Mailing Address
- 14 FORREST AVE CENTEREACH, NY 11720
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-01-2014
- Last Update Date
- 09-01-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 833098141
- License State
- NY
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RONKONKOMA, NY 11779
RONKONKOMA, NY 11779
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013317775, enumerated as an "individual" on September 01, 2014.
The provider is located at 90 AIR PARK DR RONKONKOMA, NY 11779 and the phone number is (631) 580-4020.
Specialist with taxonomy code 174400000X.
