| Anthony Tomasso, Do Pllc | |
| 
					2 Coraci Blvd Ste #4 Shirley NY 11967-4833  | |
| (631) 281-8670 | |
| (631) 281-8242 | 
| Full Name | Anthony Tomasso, Do Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 2 Coraci Blvd, Shirley, New York | 
| Authorized Official Name and Position | Anthony Tomasso (PHYSICIAN) | 
| Authorized Official Contact | 6312818670 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anthony Tomasso, Do Pllc 2 Coraci Blvd Ste #4 Shirley NY 11967-4833 Ph: (631) 281-8670  | Anthony Tomasso, Do Pllc 2 Coraci Blvd Ste #4 Shirley NY 11967-4833 Ph: (631) 281-8670  | 
| NPI Number | 1306005699 | 
|---|---|
| Provider Enumeration Date | 06/03/2008 | 
| Last Update Date | 06/03/2008 | 
| Medicare PECOS PAC ID | 8820077159 | 
|---|---|
| Medicare Enrollment ID | O20040719001152 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306005699 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 185350 (New York) | Primary | 
| Provider Name | Anthony Tomasso | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1962408708 PECOS PAC ID: 5092704254 Enrollment ID: I20040511001595  | 
Kumar S Mandal Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Coraci Blvd, Shirley, NY 11967 Phone: 631-281-2600 Fax: 631-281-6732  | |
County Of Suffolk Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Montauk Hwy, Shirley, NY 11967 Phone: 631-852-1000 Fax: 631-852-1009  | |
Md 365 Medical Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Montauk Hwy Ste 18, Shirley, NY 11967 Phone: 631-772-4646 Fax: 631-772-2495  |