Antoniak, Sandra K

Antoniak, Sandra K is an individual health care provider with primary practice located at 3500 N Sabino Canyon Rd Unit 54 , Tucson AZ 85750-6141. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Antoniak, Sandra K can be contacted via phone (402) 305-1921.

Contact Information

Primary practice address
3500 N Sabino Canyon Rd Unit 54 Tucson AZ 85750-6141
Phone: (402) 305-1921
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 266006 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 266006 New York
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 266006 New York

Profile Details

NPI number 1891992285
LBN Legal business name Antoniak, Sandra K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Dec 3rd, 2021 - about 3 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 1891992285 NPPES
New York Other 266006 LICENSE
New York MEDICAID 03615758 LICENSE

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