ANTHONY P. CARUSO M.D., P.C. - NPI NUMBER 1982863205

Summary

Provider Name: ANTHONY P. CARUSO M.D., P.C.

NPI Number: 1982863205

Clasification: Otolaryngology (207Y00000X)

Address:
580 COUNTY ROAD 39A
SOUTHAMPTON, NY
ZIP 11968

Phone Number: (631) 283-4412



Detailed Information

ANTHONY P. CARUSO M.D., P.C. is an otolaryngologist in Southampton, NY. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. The assigned NPI number for this provider is 1982863205 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

580 COUNTY ROAD 39A
SOUTHAMPTON, NY
ZIP 11968-238
Phone: (631) 283-4412
Fax: (631) 283-4492

The provider's authorized official is Anthony P. Caruso .
The authorized official title is President and has the following contact phone number (631) 283-4412.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 6/2/2008.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1659393403 ANTHONY PAUL CARUSO, MD
Otolaryngology

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207Y00000X Otolaryngology 135991 NY Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 C09121 MEDICARE UPIN NY
2 00641516 MEDICAID NY

NPI Record

No. Field Name Field Value
1 NPI 1982863205
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name ANTHONY P. CARUSO M.D., P.C.
5 Provider First Line Business Practice Location Address 580 COUNTY ROAD 39A
6 Provider Business Practice Location Address City Name SOUTHAMPTON
7 Provider Business Practice Location Address State Name NY
8 Provider Business Practice Location Address Postal Code 119685238
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 6312834412
11 Provider Business Practice Location Address Fax Number 6312834492
12 Provider Enumeration Date 6/2/2008
13 Last Update Date 6/2/2008
14 Authorized Official Last Name CARUSO
15 Authorized Official First Name ANTHONY
16 Authorized Official Middle Name P.
17 Authorized Official Title or Position PRESIDENT
18 Authorized Official Telephone Number 6312834412
19 Healthcare Provider Taxonomy Code 1 207Y00000X
20 Provider License Number 1 135991
21 Provider License Number State Code 1 NY
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 C09121
24 Other Provider Identifier Type Code 1 02
25 Other Provider Identifier State 1 NY
26 Other Provider Identifier 2 00641516
27 Other Provider Identifier Type Code 2 05
28 Other Provider Identifier State 2 NY
29 Is Organization Subpart N
30 Authorized Official Credential Text M.D.
31 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 7/15/2014
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