Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 008176 | NY |
NPI | 1831157502 |
---|---|
Provider Name | Dr. Anthony Dominic Garmone |
First Address | Depew, NY 14043-4800 |
Second Address | Depew, NY 14043-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 08/07/2007 |