ANTHONY JUDE PETRERA

MASSAPEQUA, NY
NPI1225352024
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NY  038207)
Enumeration Date2010-03-23
Last Update Date2010-03-23
Business Address
Mr. ANTHONY JUDE PETRERA
275 N HAWTHORNE ST
MASSAPEQUA, NY 11758
Phone number: 516-797-5360
Mailing Address
Mr. ANTHONY JUDE PETRERA
275 N HAWTHORNE ST
MASSAPEQUA, NY 11758-3104
Phone number: 516-797-5360