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NPI Code Detail

MEDICARE: DR. ANTHONY FRANCIS CORDARO M.D.

MEDICARE: DR. ANTHONY FRANCIS CORDARO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician122018NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1693761OTHERNYCIGNA PPO
2693761OTHERNYBLUE CROSS
3693761OTHERNYUNITED HEALTH CARE
4AP912OTHERNYOXFORD

General Provider Information

NPI Number : 1609879451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY FRANCIS CORDARO M.D.
Provider Business Mailing Address
First Line : 271 JERICHO TPKE
Second Line :
City : FLORAL PARK
State : NY
Zip : 11001-2146
Country : US
Telephone Number : 516-352-1414
Fax Number : 516-352-9162
Provider Business Practice Location Address
First Line : 271 JERICHO TPKE
Second Line :
City : FLORAL PARK
State : NY
Zip : 11001-2146
Country : US
Telephone Number : 516-352-1414
Fax Number : 516-352-9162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 10/29/2009

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