Diantonio, Michael

Diantonio, Michael is an individual health care provider with primary practice located at 80 B Veterans Blvd , Acoma NM 87034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Diantonio, Michael can be contacted via phone (505) 552-5300.

Contact Information

Primary practice address
80 B Veterans Blvd Acoma NM 87034
Phone: (505) 552-5300
Fax: (505) 552-5490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME105541 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 169638 New York

Profile Details

NPI number 1528118163
LBN Legal business name Diantonio, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Mar 20th, 2020 - about 6 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 1528118163 NPPES
New York MEDICAID 01395500
New York MEDICAID H3451

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