Individual
ANTHONY PATRICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
556 ALWICK AVE, WEST ISLIP, NY 11795-4202
(631) 721-6503
(631) 539-4302
Mailing address
556 ALWICK AVE, WEST ISLIP, NY 11795-4202
(631) 721-6503
(631) 539-4302
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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