Healthcare Provider Details

I. General information

NPI: 1013853373
Provider Name (Legal Business Name): STONEBRIDGE FAMILY MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 QUEENS ST
SYOSSET NY
11791-3058
US

IV. Provider business mailing address

PO BOX 188
BABYLON NY
11702-0188
US

V. Phone/Fax

Practice location:
  • Phone: 516-973-1916
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TONY CONIGLIARO
Title or Position: OWNER/PHYSICIAN
Credential: DO
Phone: 516-973-1916