Individual
KAYLA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 JOHNSON AVE, SAYVILLE, NY 11782-1143
(631) 589-8060
(631) 589-0908
Mailing address
586 SMITHTOWN AVE, BOHEMIA, NY 11716-4916
(631) 589-4799
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
3545348
NY
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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