MEDICARE: GEORGE AGLIALORO D.O.

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
1	207V00000X	Obstetrics & Gynecology Physician	208966	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770506727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE AGLIALORO D.O.

Provider Business Mailing Address
First Line	:	9000 SHORE RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-5449
Country	:	US
Telephone Number	:	718-630-8890
Fax Number	:	718-491-1166

Provider Business Practice Location Address
First Line	:	9000 SHORE RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-5449
Country	:	US
Telephone Number	:	718-630-8890
Fax Number	:	718-491-1166

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	05/10/2011

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