Individual
ANTHONY J ANTONUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 PARK AVE, CARILLON NURSING AND REHABILITATION CENTER, HUNTINGTON, NY 11743-4543
(631) 827-6689
(631) 673-4936
Mailing address
6 HENNESSEY DR, HUNTINGTON, NY 11743-3824
(631) 827-6689
(631) 673-4936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
170689
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01048177
—
NY
Enumeration date
08/30/2006
Last updated
01/22/2021
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