Individual
MR. ANTHONY LOUIS PETILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
931 LEXINGTON AVE, NEW YORK, NY 10065-5771
(212) 794-7200
(212) 794-7230
Mailing address
20 PINE HOLLOW LN, GREENLAWN, NY 11740-2208
(917) 837-4158
(212) 794-7230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
035071-1
NY
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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