Provider Demographics
NPI:1710206610
Name:ANTHONY C BOTTONE MD PC
Entity Type:Organization
Organization Name:ANTHONY C BOTTONE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BOTTONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-759-8679
Mailing Address - Street 1:45-28 PARSONS BLVD.
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2219
Mailing Address - Country:US
Mailing Address - Phone:718-539-8585
Mailing Address - Fax:718-539-8925
Practice Address - Street 1:45-28 PARSONS BLVD.
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2219
Practice Address - Country:US
Practice Address - Phone:718-539-8585
Practice Address - Fax:718-539-8925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-18
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty