Individual
ANTHONY ALEXANDER DEGORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 NORTHFIELD DR, FORT SALONGA, NY 11768-2413
(631) 786-7538
Mailing address
10 NORTHFIELD DR, FORT SALONGA, NY 11768-2413
(631) 786-7538
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
—
NY
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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