Organization
EAST NORTHPORT MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J ANTONUCCI MD (PARTNER)
(631) 368-9166
Entity
Organization
Contact information
Practice address
554 LARKFIELD RD, SUITE 101, EAST NORTHPORT, NY 11731-4205
(631) 368-9166
(631) 368-5682
Mailing address
554 LARKFIELD RD, SUITE 101, EAST NORTHPORT, NY 11731-4205
(631) 368-9166
(631) 368-5682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
226879
NY
207R00000X
Internal Medicine Physician
Primary
170689
NY
Other
Enumeration date
02/12/2010
Last updated
05/19/2010
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