Individual
DR. ANTHONY PERSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
530 BROADWAY, MASSAPEQUA, NY 11758-5004
(516) 797-7504
(516) 797-7497
Mailing address
530 BROADWAY, MASSAPEQUA, NY 11758-5004
(516) 797-7504
(516) 797-7497
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006235
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO-6235-8
WORKMAN COMP PROVIDER #
NY
Enumeration date
03/19/2007
Last updated
07/09/2007
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