MR. Anthony Jude Petrera

NPI #1225352024 in Massapequa, New York

Provider Information

NPI Number: 1225352024
Entity Type: Individual
Name: MR. Anthony Jude Petrera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 23, 2010
Last Updated: Mar 23, 2010

Practice Location

Address: 275 N HAWTHORNE ST
City: Massapequa
State: New York
ZIP Code: 11758
Phone: (516) 797-5360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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