Individual
MR. ANTHONY J. GAROFALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1946 VICTORY BLVD, STATEN ISLAND, NY 10314-3529
(908) 304-4100
Mailing address
PO BOX 995, WHITEHOUSE STATION, NJ 08889-0995
(908) 304-4100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N0043401
NY
363AM0700X
Medical Physician Assistant
Primary
N001420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01090546
—
NY
Enumeration date
07/19/2006
Last updated
01/15/2016
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