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Individual

MR. ANTHONY SALVATORE RAGUSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
162 CRANFORD AVE, STATEN ISLAND, NY 10306-2001
(347) 861-4328
Mailing address
162 CRANFORD AVE, STATEN ISLAND, NY 10306-2001
(347) 861-4328

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353636
NY

Other

Enumeration date
03/15/2024
Last updated
03/15/2024
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