Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANNETTE F RACANIELLO, DO
Active Sole ProprietorFamily Medicine · BROOKHAVEN, NY
Registration Details
- NPI Number
- 1134116387
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2005 (20.599898331632 yrs)
- Last Updated
- May 1, 2012
- License
-
157578 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 ANDIRON LNBROOKHAVEN, NY, 117190078Browse NY providers · Browse ZIP 11719
- Phone
- 6312862355
- Fax
- 6312866808
- Primary Specialty
-
Family Medicine
207Q00000X
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.