Individual
MR. MATTHEW ANTONIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8828 79TH AVE, GLENDALE, NY 11385-7835
(917) 346-0834
Mailing address
8828 79TH AVE, GLENDALE, NY 11385-7835
(917) 346-0834
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
752961
NY
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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