Individual
DR. ANTHONY PESCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 WAVERLY AVE, PATCHOGUE, NY 11772-1555
(631) 444-6300
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
188917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01610966
—
NY
01
—
5450186
AETNA
NY
01
—
88K56
EMPIRE BC.BS
NY
Enumeration date
06/16/2006
Last updated
07/08/2007
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