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Individual

MR. ANTHONY ROCCO GUGLIELMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1629 ISLIP AVE, CENTRAL ISLIP, NY 11722-2701
(631) 234-6039
Mailing address
3 BROOK DR, STONY BROOK, NY 11790-1503
(631) 689-5223

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
026640
NY
183500000X
Pharmacist
26640
NY

Other

Enumeration date
04/19/2007
Last updated
04/01/2009
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