Pelosi, Anthony A.

Pelosi, Anthony A. is an individual health care provider with primary practice located at 9 4Th Ave , Bay Shore NY 11706-7908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pelosi, Anthony A. can be contacted via phone (631) 665-6707.

Contact Information

Primary practice address
9 4Th Ave Bay Shore NY 11706-7908
Fax: (631) 665-3564
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 104072-1 New York

Profile Details

NPI number 1215221858
LBN Legal business name Pelosi, Anthony A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2011
Last updated May 31st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215221858 NPPES
New York Other 104072-1 LICENSURE

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