Individual provider · NPI-1

Dr. Anthony C Innamorato, D.P.M.

Podiatrist, Primary Podiatric Medicine · Bay Shore, NY

NPI number1851380778

StatusActive

Last updated in NPPESJun 20, 2008

Details

NPI: 1851380778
Entity type: Individual (NPI-1)
Name: Dr. Anthony C Innamorato
Credential: D.P.M.
Sex: Male
Sole proprietor: Yes
Enumeration date: Oct 14, 2005
Last updated: Jun 20, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
213EP1101X	Podiatrist, Primary Podiatric Medicine	N005823-1	NY	Yes

Practice location

1555 Sunrise Hwy
Suite 5
Bay Shore, NY 11706-6027

Phone 631-328-1931 · Fax 631-328-1930

Mailing address

323 Linton Ave
Lindenhurst, NY 11757-6337

Phone 631-553-4785

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