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Contact Information

ANTHONY TOMASSO, DO
2 CORACI BLVD
STE 4
SHIRLEY, NY11967-4833
 Phone: 631-281-8670
 Fax: 631-281-8242
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ANTHONY TOMASSO · (Male)

NPI # 1962408708
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/27/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 1853501
  • NY Medicaid 01358121
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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