Provider Demographics
NPI:1932352465
Name:AVELLINI, JAMES RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RAYMOND
Last Name:AVELLINI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10408 ROOSEVELT AVE
Mailing Address - Street 2:LL
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-2328
Mailing Address - Country:US
Mailing Address - Phone:718-426-6500
Mailing Address - Fax:718-426-6501
Practice Address - Street 1:10408 ROOSEVELT AVE
Practice Address - Street 2:LL
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-2328
Practice Address - Country:US
Practice Address - Phone:718-426-6500
Practice Address - Fax:718-426-6501
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2016-03-12
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Provider Licenses
StateLicense IDTaxonomies
NY148049208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice