Individual
ANTHONY NISTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 RIDGEWOOD AVE, STATEN ISLAND, NY 10312
(718) 356-3484
Mailing address
44 RIDGEWOOD AVE, STATEN ISLAND, NY 10312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32240
NY
Other
Enumeration date
02/12/2010
Last updated
10/07/2014
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