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Individual

MR. ANTHONY MICHAEL MADDALENA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
785 MAMARONECK AVE, WHITE PLAINS, NY 10605-2523
(914) 597-2203
(914) 597-2761
Mailing address
3360 SPRUCE ST, MOHEGAN LAKE, NY 10547-1411
(914) 243-3697

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040169
NY

Other

Enumeration date
03/11/2010
Last updated
03/11/2010
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