Provider Demographics
NPI:1699465252
Name:UGGIANO, SALVATORE ANTHONY III (PA)
Entity type:Individual
Prefix:MR
First Name:SALVATORE
Middle Name:ANTHONY
Last Name:UGGIANO
Suffix:III
Gender:M
Credentials:PA
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Mailing Address - Street 1:1 CAMPUS RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-4479
Mailing Address - Country:US
Mailing Address - Phone:718-390-3100
Mailing Address - Fax:
Practice Address - Street 1:1 CAMPUS RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-4479
Practice Address - Country:US
Practice Address - Phone:718-390-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant