Individual
ANTHONY DONATELLI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 HOOPER RD, ENDWELL, NY 13760-1907
(607) 754-6880
Mailing address
511 HOOPER RD, ENDWELL, NY 13760-1907
(607) 754-6880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033271
NY
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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