| Vincent Anzalone Physician PC | |
|
847 N Broadway Suite 103 Massapequa NY 11758-2373 | |
| (516) 798-0441 | |
| (516) 798-0445 |
| Full Name | Vincent Anzalone Physician PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 847 N Broadway, Massapequa, New York |
| Authorized Official Name and Position | Vincent Peter Anzalone (PRESIDENT) |
| Authorized Official Contact | 5167980441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Anzalone Physician PC 700 Hicksville Rd Suite 200b Bethpage NY 11714-3471 Ph: (516) 576-5651 | Vincent Anzalone Physician PC 847 N Broadway Suite 103 Massapequa NY 11758-2373 Ph: (516) 798-0441 |
| NPI Number | 1083996227 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083996227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 157952 (New York) | Primary |
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