Individual
MR. ANTHONY GERARD CONRAD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
16 SPRUCE MEADOWS DR, MONROE TOWNSHIP, NJ 08831-3103
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014125
NY
363AS0400X
Surgical Physician Assistant
PENDING
NY
Other
Enumeration date
06/29/2010
Last updated
10/18/2022
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