Individual
DR. ANTHONY JOSEPH CRIVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
228 E MAIN ST, EAST ISLIP, NY 11730-2711
(631) 581-8600
Mailing address
228 E MAIN ST, EAST ISLIP, NY 11730-2711
(631) 581-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063306
NY
Other
Enumeration date
04/02/2022
Last updated
09/28/2023
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