Anthony J Antonucci M D P C

NPI 1083751879 - Internal Medicine - 207R00000X

NPI Details
NPI 1083751879
Enumeration Date 01/31/2007
Last Updated 03/31/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANTHONY J ANTHONY
Position MD
Phone (631) 827-6689
Fax (631) 673-4936
Practice Location
830 PARK AVE
CARILLON NURSING AND REHABILITATION CENTER
HUNTINGTON NY, 11743-4543, US
Phone (631) 827-6689
Fax (631) 673-4936
Business Location
6 HENNESSEY DR
HUNTINGTON NY, 11743-3824, US
Phone (631) 827-6689
Fax (631) 673-4936
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 170689
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According to our database, Anthony J Antonucci M D P C NPI is 1083751879, taxonomy code is 207R00000X and license number is 170689, license state is located at New York. Anthony J Antonucci M D P C physically located at 830 Park Ave, Huntington NY, 11743-4543. NPI Number 1033115704 has the healthcare provider type.

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1083751879 NPI number is provided on an as is basis without warranty of any kind. 1083751879 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony J Antonucci M D P C are for informational purposes only.