Individual
DR. ANTHONY J ANZALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1919 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-5601
(631) 209-5343
(631) 648-7655
Mailing address
1919 MIDDLE COUNTRY RD, SUITE 308, CENTEREACH, NY 11720-5601
(631) 209-5343
(631) 648-7655
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
018271
NY
103TC0700X
Clinical Psychologist
018271
NY
103TC2200X
Clinical Child & Adolescent Psychologist
018271
NY
Other
Enumeration date
05/08/2010
Last updated
12/16/2014
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