Individual
ANTHONY RICHARD CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(845) 505-9366
Mailing address
PO BOX 7780, CHRISTIANSTED, VI 00823-7780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023092
NY
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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