Provider Demographics
NPI:1932799574
Name:AMANTE, ANTHONY ISAIAH JR
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ISAIAH
Last Name:AMANTE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 FLORAL LN
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5043
Mailing Address - Country:US
Mailing Address - Phone:551-444-2303
Mailing Address - Fax:
Practice Address - Street 1:313 FLORAL LN
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5043
Practice Address - Country:US
Practice Address - Phone:551-444-2303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer