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Individual
ANTHONY S MENCUCCI
Active
Individual
ANTHONY S MENCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0149671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103116FT
PREFERRED CARE
NY
01
—
7344272
AETNA
NY
01
—
P010014967
BLUE CHOICE
NY
Enumeration date
11/21/2006
Last updated
02/24/2015
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