Provider Demographics
NPI:1457879033
Name:ANTHONY CONCIATORI DO LLC
Entity Type:Organization
Organization Name:ANTHONY CONCIATORI DO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONCIATORI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:646-752-1376
Mailing Address - Street 1:45 W 60TH ST APT 33J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7949
Mailing Address - Country:US
Mailing Address - Phone:646-752-1376
Mailing Address - Fax:212-643-6801
Practice Address - Street 1:45 W 60TH ST APT 33J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7949
Practice Address - Country:US
Practice Address - Phone:646-752-1376
Practice Address - Fax:212-643-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty