Individual
ANDREW ANJELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2350 N OCEAN AVE, FARMINGVILLE, NY 11738-2909
(631) 451-1821
Mailing address
25 N JEFFERSON AVE, LINDENHURST, NY 11757-4204
(631) 291-0805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062624
NY
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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