# FRESH MEADOWS MEDICAL SERVICES PLLC

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

## Provider details

- **NPI number:** 1508314774
- **Authorized official:** ALAN ANTONELLI MD (OWNER)
- **Authorized official phone:** (718) 217-1414

## Contact information

- **Practice address:** 18904 UNION TPKE, FRESH MEADOWS, NY 11366-1862
- **Practice address phone:** (718) 217-1414
- **Mailing address:** PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
- **Mailing address phone:** (631) 264-2035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | — |

## Other

- **Enumeration date:** 09/16/2016
- **Last updated:** 10/21/2016