Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Angelo John Procaccino, MD

Individual provider Surgery Physician · NPI 1861587461

Dr. Angelo John Procaccino, MD is a Surgery Physician in Great Neck, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

310 E Shore Rd Ste 203
Great Neck, NY 11023
Phone: (516) 482-8657
Fax: (516) 829-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 158773 (NY)

Record details

NPI number1861587461
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address310 East Shore Road, Suite 203, Great Neck, NY 11023

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