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Organization
MARK ANTOSH MD PC
Active
Organization
MARK ANTOSH MD PC
Active
Other names
Yoffa and Antosh MD's PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANTOSH MD (PRESIDENT)
(315) 432-9202
Entity
Organization
Contact information
Practice address
824 FRANKLIN PARK DR, EAST SYRACUSE, NY 13057-1614
(315) 432-1048
(315) 432-9219
Mailing address
824 FRANKLIN PARK DR, EAST SYRACUSE, NY 13057-1614
(315) 432-9202
(315) 432-9219
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
1061151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00572349
—
NY
05
—
01420837
—
NY
Enumeration date
09/29/2006
Last updated
11/13/2015
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