Doctor Name: | DR. ANTHONY J ANZALONE |
NPI Number: | 1124346689 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 018271 |
Business Practice Address: | 1919 Middle Country Rd Centereach, NY - 117205601 |
Business Phone Number: | 6312095343 |
Business Fax Number: | 6316487655 |
Mailing Address: | 1919 Middle Country Rd, Suite 308 CENTEREACH |
State: | NY |
Postal Code: | 117205601 |
Phone Number: | 6312095343 |
Fax Number: | 6316487655 |
NPI Enumeration Date: | 05/08/2010 |
NPI Last Update Date: | 12/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 018271 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |