DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN A PROCACCINO JR., MD

Active Sole Proprietor

DR. JOHN A PROCACCINO JR., MD is a General Surgery healthcare provider located in GREAT NECK, New York. NPI 1114997939 is currently active in the NPPES registry. Verify at CMS.

General Surgery · GREAT NECK, NY

Registration Details

NPI Number
1114997939
Provider Type
Individual
Gender
Male
NPI Issued
Jan 24, 2006 (20.37067895453 yrs)
Last Updated
Sep 23, 2013
License
171315 (NY)
Sole Proprietor
Yes

Practice Information

Address
900 NORTHERN BLVD
GREAT NECK, NY, 110215302
Browse NY providers · Browse ZIP 11021
Phone
5167302100
Fax
5167302121
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in GREAT NECK, NY

Name Credential NPI
DR. GREGORY FRIED M.D. 1144203415
PATRICIA PEZZELLO MD 1952340150
DIMITRA THEODOROPOULOS M.D., FACS 1124120498
DR. LARRY ELI GELLMAN MD 1174616767
DR. DOMINICK GADALETA MD 1710070347
DR. LEWIS MYLES KURTZ MD 1013000553
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.