Organization
ANTO VINCETIC DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTO VINCETIC D.P.M (OWNER/PHYSICIAN)
(718) 347-0494
Entity
Organization
Contact information
Practice address
3626 E TREMONT AVE, SUITE 102, BRONX, NY 10465-2030
(718) 409-0400
(718) 597-8962
Mailing address
21455 JAMAICA AVE, QUEENS VILLAGE, NY 11428-1733
(718) 347-0494
(718) 347-6793
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
005796
NY
Other
Enumeration date
11/25/2009
Last updated
06/21/2010
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