Provider Demographics
NPI:1992148464
Name:CIRIGLIANO, ANTHONY III (LPN)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:CIRIGLIANO
Suffix:III
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10930-2911
Mailing Address - Country:US
Mailing Address - Phone:845-827-6746
Mailing Address - Fax:
Practice Address - Street 1:215 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND MILLS
Practice Address - State:NY
Practice Address - Zip Code:10930-2911
Practice Address - Country:US
Practice Address - Phone:845-827-6746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314019-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse