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Individual

MR. ANTHONY PICCIONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS PHARN

Contact information

Practice address
2045 FOREST AVE, STATEN ISLAND, NY 10303-1734
(718) 982-8019
(718) 982-8026
Mailing address
2045 FOREST AVE, STATEN ISLAND, NY 10303-1734
(718) 982-8019
(718) 982-8026

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031911
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031911
NYS PHARMACY LICENSE
NY
01
308484
NABP
NY
Enumeration date
03/12/2010
Last updated
06/05/2016
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