Antonescu Wolf, Dan
Antonescu Wolf, Dan is an individual health care provider with primary practice located at 989 W Jericho Tpke , Smithtown NY 11787. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Antonescu Wolf, Dan can be contacted via phone (631) 864-7100.Contact Information
Primary practice address
989 W Jericho Tpke
Smithtown NY 11787
Phone: (631) 864-7100
Fax: (631) 864-7129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 152817 | New York |
Profile Details
| NPI number | 1609884667 |
|---|---|
| LBN Legal business name | Antonescu Wolf, Dan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jun 2nd, 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 | 1609884667 | NPPES |
| New York | MEDICAID | 00894564 | |
| New York | Other | 0118403 | |
| New York | Other | P00354563 |
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