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NPI Code Detail

MEDICARE: DR. HAROLD AVELLA M.D.

MEDICARE: DR. HAROLD AVELLA 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
1208100000XPhysical Medicine & Rehabilitation Physician197663NY

General Provider Information

NPI Number : 1770502965
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAROLD AVELLA M.D.
Provider Business Mailing Address
First Line : 8 DIPLOMAT DR
Second Line :
City : SELDEN
State : NY
Zip : 11784-2292
Country : US
Telephone Number : 631-846-4044
Fax Number : 631-846-4044
Provider Business Practice Location Address
First Line : 752 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-3900
Country : US
Telephone Number : 631-385-0207
Fax Number : 631-385-1272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 02/16/2026

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