Antonacci, Anthony
Antonacci, Anthony is an individual health care provider with primary practice located at 130 E 77Th St 13 Fl, New York NY 10075-1851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Antonacci, Anthony can be contacted via phone (212) 434-3420.Contact Information
Primary practice address
130 E 77Th St 13 Fl
New York NY 10075-1851
Phone: (212) 434-3420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 135626 | New York |
Profile Details
| NPI number | 1316929524 |
|---|---|
| LBN Legal business name | Antonacci, Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jul 6th, 2010 - about 15 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 | 1316929524 | NPPES |
| New York | MEDICAID | 00844293 |
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