Antonetz, Theodore
Antonetz, Theodore is an sole proprietor health care provider with primary practice located at 185 West End Avenue Suite 1N, Nyc NY 10023. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Antonetz, Theodore can be contacted via phone (212) 877-3062.Contact Information
Primary practice address
185 West End Avenue Suite 1N
Nyc NY 10023
Phone: (212) 877-3062
Fax: (212) 873-9521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004056 | New York |
Profile Details
| NPI number | 1083714554 |
|---|---|
| LBN Legal business name | Antonetz, Theodore |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Aug 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 | 1083714554 | NPPES |
| New York | Other | P43851 | BLUE CROSS/BLUE SHIELD |
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