1417080524 NPI number — MR. DINO CIARNIELLO PT

Table of content: MR. DINO CIARNIELLO PT (NPI 1417080524)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417080524 NPI number — MR. DINO CIARNIELLO PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CIARNIELLO
Provider First Name:
DINO
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417080524
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1524 ATWOOD AVE
Provider Second Line Business Mailing Address:
SUITE 140
Provider Business Mailing Address City Name:
JOHNSTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02919-3228
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-633-3020
Provider Business Mailing Address Fax Number:
401-351-6201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1524 ATWOOD AVE
Provider Second Line Business Practice Location Address:
SUITE 140
Provider Business Practice Location Address City Name:
JOHNSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02919-3228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-633-3020
Provider Business Practice Location Address Fax Number:
401-351-6201
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT01324 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 409448 . This is a "BLUECHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 2216862 . This is a "UNITEDHEALTHCARE" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 2273481 . This is a "FIRSTHEALTH" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1458872 . This is a "AETNA" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 31948-5 . This is a "BLUE CROSSBLUE CROSS RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 9465323 . This is a "PHCS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com