Individual
ANTHONY MEZZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
(888) 750-2266
Mailing address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109811-01
NY
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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