Individual
DR. ANTHONY CORSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
176 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-3800
(516) 764-2115
Mailing address
8 MILEMORE DR, NORTHPORT, NY 11768-2653
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
192350
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1544316
—
NY
Enumeration date
12/15/2006
Last updated
06/09/2022
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