Pesce, Anthony

Pesce, Anthony is an individual health care provider with primary practice located at 450 Waverly Ave , Patchogue NY 11772-1555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pesce, Anthony can be contacted via phone (631) 444-6300.

Contact Information

Primary practice address
450 Waverly Ave Patchogue NY 11772-1555
Phone: (631) 444-6300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 188917 New York

Profile Details

NPI number 1013951169
LBN Legal business name Pesce, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1013951169 NPPES
New York Other 88K56 EMPIRE BC.BS
New York MEDICAID 01610966 EMPIRE BC.BS
New York Other 5450186 EMPIRE BC.BS

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