Individual
MR. ANTHONY MONTEFORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 ROUTE 112, PORT JEFFERSON STATION, NY 11776-3236
(631) 474-2657
Mailing address
1110 ROUTE 112, PORT JEFFERSON STATION, NY 11776-3236
(631) 474-2657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039275
NY
Other
Enumeration date
02/28/2010
Last updated
02/28/2010
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