# ANTO VINCETIC DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174851414
- **Authorized official:** ANTO VINCETIC D.P.M (OWNER/PHYSICIAN)
- **Authorized official phone:** (718) 347-0494

## Contact information

- **Practice address:** 3626 E TREMONT AVE, SUITE 102, BRONX, NY 10465-2030
- **Practice address phone:** (718) 409-0400
- **Practice address fax:** (718) 597-8962
- **Mailing address:** 21455 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1733
- **Mailing address phone:** (718) 347-0494
- **Mailing address fax:** (718) 347-6793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 005796 | NY | Yes |

## Other

- **Enumeration date:** 11/25/2009
- **Last updated:** 06/21/2010
