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Individual

DR. ANTHONY NICHOLAS DONATELLI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
43 BROADWAY AVE, SAYVILLE, NY 11782-1601
(631) 603-3770
(631) 251-7020
Mailing address
43 BROADWAY AVE, SAYVILLE, NY 11782-1601
(631) 603-3770
(631) 251-7020

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
167827
NY
207Q00000X
Family Medicine Physician
ME122358
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01039087
NY
Enumeration date
10/04/2005
Last updated
03/03/2025
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