Individual
MR. ANTHONY RAYMOND MAINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
60 ACADEMY RD, ALBANY, NY 12208-3103
(518) 912-4808
(518) 514-1383
Mailing address
105 HYDE BLVD, BALLSTON SPA, NY 12020-1600
(518) 461-9531
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
743550
NY
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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