Organization
MARK ANTOSH MD PC
Active
Other names
Yoffa and Antosh MD's PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANTOSH MD (PRESIDENT)
(315) 432-9202
Entity
Organization
Contact information
Practice address
824 FRANKLIN PARK DR, EAST SYRACUSE, NY 13057-1614
(315) 432-1048
(315) 432-9219
Mailing address
824 FRANKLIN PARK DR, EAST SYRACUSE, NY 13057-1614
(315) 432-9202
(315) 432-9219
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
1061151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00572349
—
NY
05
—
01420837
—
NY
Enumeration date
09/29/2006
Last updated
11/13/2015
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