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NPI Code Detail

MEDICARE: ANTON SAZON

MEDICARE: ANTON SAZON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist059016NY

General Provider Information

NPI Number : 1104243880
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTON SAZON
Provider Business Mailing Address
First Line : 111 RAMSEY AVE
Second Line :
City : YONKERS
State : NY
Zip : 10701-5243
Country : US
Telephone Number : 718-774-6800
Fax Number :
Provider Business Practice Location Address
First Line : 312 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-3022
Country : US
Telephone Number : 718-774-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2014
Last Update Date : 03/19/2014

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Directions to “ ANTON SAZON ” Practice Location

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