Healthcare Provider Details

I. General information

NPI: 1023345816
Provider Name (Legal Business Name): FRANCIS J ANELLO P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2009
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8204 CALDWELL AVE
MIDDLE VILLAGE NY
11379-1435
US

IV. Provider business mailing address

8204 CALDWELL AVE
MIDDLE VILLAGE NY
11379-1435
US

V. Phone/Fax

Practice location:
  • Phone: 718-651-5656
  • Fax: 718-651-5602
Mailing address:
  • Phone: 718-651-5656
  • Fax: 718-651-5602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number0853881
License Number StateNY

VIII. Authorized Official

Name: DR. FRANCIS JOSEPH ANELLO
Title or Position: INTERNAL MEDICINE PROVIDER
Credential: M.D.
Phone: 718-651-5656