Anthony Consolazio MD

NPI 1811984479 - Family Medicine - 207Q00000X

NPI Details
NPI 1811984479
Gender Male
Enumeration Date 09/29/2005
Last Updated 09/19/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
4417 VESTAL PARKWAY EAST
SUITE 101
VESTAL NY, 13850-3556, US
Phone (607) 729-2144
Fax (607) 729-2145
Business Location
346 GRAND AVE
JOHNSON CITY NY, 13790-2558, US
Phone (607) 729-8156
Fax (607) 729-3982
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 230312
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According to our database, Anthony Consolazio MD NPI is 1811984479, taxonomy code is 207Q00000X and license number is 230312, license state is located at New York. Anthony Consolazio MD physically located at 4417 Vestal Parkway East, Vestal NY, 13850-3556. NPI Number Anthony Consolazio MD has the Individual type.

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1811984479 NPI number is provided on an as is basis without warranty of any kind. 1811984479 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Consolazio MD are for informational purposes only.