Individual
ANTHONY ROSALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4724 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2580
(631) 474-5900
(631) 828-1946
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006249
NY
363AM0700X
Medical Physician Assistant
006249
NY
Other
Enumeration date
01/16/2015
Last updated
11/26/2019
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