Individual
DR. ANTHONY JOHN DAVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 DALTON LN, EAST NORTHPORT, NY 11731-3908
(631) 368-6081
Mailing address
5 DALTON LN, EAST NORTHPORT, NY 11731-3908
(631) 368-6081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001195-1
NY
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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