Individual
MR. ANTHONY RONALD MINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 NICHOLLS ROAD, STONY BROOK, NY 11794-0001
(631) 444-7875
(631) 444-8947
Mailing address
PO BOX 1559, STONY BROOK, NY 11790
(631) 626-1771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
10/07/2018
Last updated
09/16/2022
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