NPI 1205160322

Anthony Fortunato Demonte, PHARMD

Practitioner Pharmacist Bayport, NY

Practice location

Address: 970 Montauk Hwy, Bayport, NY 11705-1612
Phone: (631) 363-8460
Fax: (631) 363-8469
Mailing address: 1135 Orchid Cir, Bellport, NY 11713-3004

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 053710 (NY)

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Registry record

NPI: 1205160322
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2009
Record last updated: 22 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.