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NPI 1073529129 · live from the CMS NPI Registry

Joseph Anselmo, PAC

Physician Assistant in New York, NY. National Provider Identifier 1073529129, active.

NPI record

NPI1073529129 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location1000 10th Ave, Ste 5g-80, New York, NY 10019
Practice phone212-523-6720
Mailing addressPo Box 32870, Hartford, CT 06150
EnumeratedJuly 31, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X0080561 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.