Antoine, Ewald J
Antoine, Ewald J is an individual health care provider with primary practice located at 108-19 Rockaway Blvd , Ozone Park NY 11420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Antoine, Ewald J can be contacted via phone (718) 845-2620.Contact Information
Primary practice address
108-19 Rockaway Blvd
Ozone Park NY 11420
Phone: (718) 845-2620
Fax: (718) 845-9380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 00167153 | New York |
Profile Details
| NPI number | 1013074525 |
|---|---|
| LBN Legal business name | Antoine, Ewald J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - 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 | 1013074525 | NPPES |
| New York | MEDICAID | 00167153 |
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