Anthony Patricola
Anthony Patricola is an Early Intervention Provider Agency in West Islip, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
556 Alwick AveWest Islip, NY 11795-4202
Phone: (631) 721-6503
Fax: (631) 539-4302
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X (NY) |
|---|
Record details
| NPI number | 1093191587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2015 |
| Last updated in NPPES | August 6, 2015 |
| Mailing address | 556 Alwick Ave, West Islip, NY 11795-4202 |
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