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Organization
VINCENT ANZALONE PHYSICIAN PC
Active
Organization
VINCENT ANZALONE PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT PETER ANZALONE M.D. (PRESIDENT)
(516) 798-0441
Entity
Organization
Contact information
Practice address
847 N BROADWAY, SUITE 103, MASSAPEQUA, NY 11758-2373
(516) 798-0441
(516) 798-0445
Mailing address
700 HICKSVILLE RD, SUITE 200B, BETHPAGE, NY 11714-3471
(516) 576-5651
(516) 576-5820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157952
NY
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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