Individual
MR. ANTHONY IANNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
78 PARIS CT, WEST ISLIP, NY 11795-2816
(631) 245-0637
Mailing address
78 PARIS CT, WEST ISLIP, NY 11795-2816
(631) 245-0637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
350188-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350188-1
RN LICENSE
NY
Enumeration date
02/22/2022
Last updated
02/22/2022
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