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Individual

MR. ANTHONY RAYMOND DEMIERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2780 3RD AVE, BRONX, NY 10455
(718) 665-2456
(718) 665-1174
Mailing address
2780 3RD AVE, BRONX, NY 10455-4029
(718) 665-2456
(718) 665-1174

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
087102
NY
1041C0700X
Clinical Social Worker
10469
CT

Other

Enumeration date
10/15/2007
Last updated
02/28/2019
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