Individual
MR. ANTHONY J CIOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
342 SOUNDVIEW DR, ROCKY POINT, NY 11778-9728
(631) 209-0987
Mailing address
342 SOUNDVIEW DR, ROCKY POINT, NY 11778-9728
(631) 209-0987
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
010126
NY
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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