Individual
ANTHONY FICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 417-8780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049334
NY
Other
Enumeration date
11/20/2007
Last updated
01/23/2020
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