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Individual

DR. ANTHONY C INNAMORATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1555 SUNRISE HWY, SUITE 5, BAY SHORE, NY 11706-6027
(631) 328-1931
(631) 328-1930
Mailing address
323 LINTON AVE, LINDENHURST, NY 11757-6337
(631) 553-4785

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N005823-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02280500
NY
Enumeration date
10/14/2005
Last updated
06/20/2008
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