ANTHONY MICHAEL DESIVO

HOLBROOK, NY
NPI1114231990
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  054915)
Enumeration Date2010-08-03
Last Update Date2010-08-03
Business Address
-- ANTHONY MICHAEL DESIVO PharmD
305 MAIN ST
HOLBROOK, NY 11741-1501
Phone number: 631-467-3444
Mailing Address
-- ANTHONY MICHAEL DESIVO PharmD
23 DAKOTA ST
DEER PARK, NY 11729-2527
Phone number:
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