Individual
ANTHONY MAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 FORT SALONGA RD STE 3, NORTHPORT, NY 11768-1400
(631) 757-5588
Mailing address
111 DEPOT RD, HUNTINGTON STATION, NY 11746-1723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
037788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02101031
—
NY
Enumeration date
01/23/2008
Last updated
11/30/2020
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