Individual
ANA SAMANTHA ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4343 KISSENA BLVD STE 110, FLUSHING, NY 11355-2914
(718) 661-1770
(718) 886-6414
Mailing address
57 CRESCENT DR, ALBERTSON, NY 11507-1101
(718) 661-1710
(718) 886-6414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045303
NY
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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