Provider Demographics
NPI:1851650899
Name:CARDIOLOGY ASSOCIATES OF ONEONTA
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF ONEONTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:P
Authorized Official - Last Name:CAMMILLERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-432-8272
Mailing Address - Street 1:1 FOXCARE DR STE 104
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-2681
Mailing Address - Country:US
Mailing Address - Phone:607-432-8272
Mailing Address - Fax:607-433-0869
Practice Address - Street 1:432 MAIN ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2046
Practice Address - Country:US
Practice Address - Phone:607-433-2684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129855207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty