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Individual

MR. ANTHONY GUGLIELMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
226 ROUTE 25A, SETAUKET, NY 11733-2853
(631) 751-8100
(631) 751-0642
Mailing address
226 ROUTE 25A, SETAUKET, NY 11733-2853
(631) 751-8100
(631) 751-0642

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043410
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00275567
NY
Enumeration date
11/02/2007
Last updated
11/02/2007
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