Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Angelo Thomas Minerva

Individual provider Pharmacist · NPI 1477659803

Mr. Angelo Thomas Minerva is a Pharmacist in Northport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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Practice location Address checks out

79 Middleville Rd
Northport, NY 11768-2200
Phone: (631) 261-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 32231 (NY)

Record details

NPI number1477659803
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2006
Last updated in NPPESSeptember 7, 2023
Mailing address3509 Centerview Ave, Wantagh, NY 11793-2709

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