Antar, Koshnaf
Antar, Koshnaf is an sole proprietor health care provider with primary practice located at 111 Maltese Dr , Middletown NY 10940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Antar, Koshnaf can be contacted via phone (845) 342-4774.Contact Information
Primary practice address
111 Maltese Dr
Middletown NY 10940
Phone: (845) 342-4774
Fax: (845) 818-7555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 219104 | New York |
Profile Details
| NPI number | 1720194152 |
|---|---|
| LBN Legal business name | Antar, Koshnaf |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Aug 1st, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720194152 | NPPES |
| New York | MEDICAID | 02648328 |
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