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NPI Code Detail

MEDICARE: ANTHONY MICHAEL DEL VECCHIO DDS

MEDICARE: ANTHONY MICHAEL DEL VECCHIO DDS
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
11223S0112XOral and Maxillofacial Surgery (Dentist)044629NY

General Provider Information

NPI Number : 1376671586
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY MICHAEL DEL VECCHIO DDS
Provider Business Mailing Address
First Line : 3535 HILL BLVD
Second Line : SUITE N
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-1293
Country : US
Telephone Number : 914-245-1220
Fax Number :
Provider Business Practice Location Address
First Line : 3535 HILL BLVD
Second Line : SUITE N
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-1293
Country : US
Telephone Number : 914-245-1220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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