NPI 1851457477

Gino a Consigliere, MD

Practitioner Family Medicine Physician Port Jefferson Station, NY

Practice location

Address: 7 Medical Dr STE a, Port Jefferson Station, NY 11776-1593
Phone: (631) 928-5252
Fax: (631) 928-5259

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 109169 (NY)

Other Family Medicine providers in New York →

Registry record

NPI: 1851457477
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.