Provider Demographics
NPI:1184676215
Name:FINUOLI, ANTHONY L (DO)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:L
Last Name:FINUOLI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1092 JERICHO TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-2871
Mailing Address - Country:US
Mailing Address - Phone:631-360-6370
Mailing Address - Fax:631-360-6373
Practice Address - Street 1:1092 JERICHO TURNPIKE
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-2871
Practice Address - Country:US
Practice Address - Phone:631-360-6370
Practice Address - Fax:631-360-6373
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY215061207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY166739OtherVYTRA
NY5C5185OtherHEALTH NET
NYP3329059OtherOXFORD
NY166739OtherVYTRA
NYP3329059OtherOXFORD
NY6683360001Medicare NSC