Provider Demographics
NPI:1699002345
Name:GAGGI, ANTHONY FRANK (DO)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:FRANK
Last Name:GAGGI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 ST. MARKS PLACE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-533-1577
Mailing Address - Fax:347-312-7672
Practice Address - Street 1:42 SAINT MARKS PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-8116
Practice Address - Country:US
Practice Address - Phone:212-533-1577
Practice Address - Fax:347-312-7672
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCOO5692247200000X, 156FC0800X, 156FC0801X, 156FX1100X, 156FX1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter
No156FX1202XEye and Vision Services ProvidersTechnician/TechnologistOptometric Technician