Individual
MR. ANTONIO ORDINAL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1052 LIBERTY AVE, BROOKLYN, NY 11208-2913
(718) 805-0037
Mailing address
521 WYONA ST 1F, BROOKLYN, NY 11207-5411
(347) 744-1511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016324
NY
363AM0700X
Medical Physician Assistant
016324
NY
Other
Enumeration date
02/04/2013
Last updated
05/09/2017
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