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Organization

ANTHONY J MOSCHETTO D.O., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE CLANCY (EXECUTIVE ADMINISTRATOR)
(516) 874-0441
Entity
Organization

Contact information

Practice address
370 NORTHERN BLVD, GREAT NECK, NY 11021-4813
(516) 874-0441
Mailing address
370 NORTHERN BLVD, GREAT NECK, NY 11021-4813
(516) 874-0441
(516) 874-0441

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
11/26/2013
Last updated
02/20/2014
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