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Contact Information

ANTHONY M DESIVO, PHARM.D.
305 MAIN ST
HOLBROOK, NY11741-1501
 Phone: 631-467-3444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for ANTHONY M DESIVO · (Male)

NPI # 1114231990
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 08/03/2010
Last updated 08/03/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 054915
Hospital affiliation(s) Not Available
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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