Organization
P ANTONELLI DISTRIBUTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ELLEN ANTONELLI (PRESIDENT)
(216) 291-3480
Entity
Organization
Contact information
Practice address
2947 GATSBY LN., WILLOUGHBY HILLS, OH 44092-1341
(216) 291-3480
(440) 569-1735
Mailing address
2947 GATSBY LN., WILLOUGHBY HILLS, OH 44092-1341
(216) 291-3480
(440) 569-1735
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0872775
—
OH
01
—
1804015
IO WAIVER
OH
Enumeration date
07/02/2006
Last updated
01/14/2026
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