| Anthony Tomasso, Do Pllc | |
|
2 Coraci Blvd Ste #4 Shirley NY 11967-4833 | |
| (631) 281-8670 | |
| (631) 281-8242 |
| Full Name | Anthony Tomasso, Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Coraci Blvd, Shirley, New York |
| Authorized Official Name and Position | Anthony Tomasso (PHYSICIAN) |
| Authorized Official Contact | 6312818670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Tomasso, Do Pllc 2 Coraci Blvd Ste #4 Shirley NY 11967-4833 Ph: (631) 281-8670 | Anthony Tomasso, Do Pllc 2 Coraci Blvd Ste #4 Shirley NY 11967-4833 Ph: (631) 281-8670 |
| NPI Number | 1306005699 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Medicare PECOS PAC ID | 8820077159 |
|---|---|
| Medicare Enrollment ID | O20040719001152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306005699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 185350 (New York) | Primary |
| Provider Name | Anthony Tomasso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962408708 PECOS PAC ID: 5092704254 Enrollment ID: I20040511001595 |
Kumar S Mandal Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Coraci Blvd, Shirley, NY 11967 Phone: 631-281-2600 Fax: 631-281-6732 | |
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