Individual
DR. MATTHEW ANTALEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1829 MAPLE RD, SUITE 202, WILLIAMSVILLE, NY 14221-2700
(716) 204-5933
(716) 204-5934
Mailing address
1829 MAPLE RD, SUITE 202, WILLIAMSVILLE, NY 14221-2700
(716) 204-5933
(716) 204-5934
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
170215-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01091923
—
NY
Enumeration date
05/04/2006
Last updated
09/08/2008
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