Antonelle, Robert W

Antonelle, Robert W is an sole proprietor health care provider with primary practice located at 311 North St Room 402, White Plains NY 10605-2217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Antonelle, Robert W can be contacted via phone (914) 949-7171.

Contact Information

Primary practice address
311 North St Room 402 White Plains NY 10605-2217
Fax: (914) 949-7719
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 183668 New York

Profile Details

NPI number 1609851690
LBN Legal business name Antonelle, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated Aug 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609851690 NPPES
New York MEDICAID 01355962

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