Individual
MR. ANTHONY J TRISTANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
460 MONTAUK HWY, WEST ISLIP, NY 11795-4404
(631) 422-1912
(631) 893-0270
Mailing address
460 MONTAUK HWY, WEST ISLIP, NY 11795-4404
(631) 422-1912
(631) 893-0270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040856
NY
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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