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1710304605
ANTHONY JAMES TISI
WESTBURY, NY
NPI
1710304605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 017339)
Enumeration Date
2014-03-28
Last Update Date
2017-11-07
Business Address
ANTHONY JAMES TISI PA
761 MERRICK AVE
WESTBURY, NY 11590-6608
Phone number: 516-357-8777
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Mailing Address
ANTHONY JAMES TISI PA
761 MERRICK AVE
WESTBURY, NY 11590-6608
Phone number:
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