Physician Compare National (NPI:1851457477)

HEALTHCARE PROVIDER: GINO A CONSIGLIERE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1851457477
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113115932
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101221000620
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CONSIGLIERE
	Individual professional last name
Provider First Name	GINO
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1970
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7 MEDICAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	PORT JEFFERSON STATION
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117761593
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6319285252
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330185
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y