Individual
DR. AUGUST ANTAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 BROOKS ST W, HICKSVILLE, NY 11801-5530
(516) 822-7553
Mailing address
35 BROOKS ST W, HICKSVILLE, NY 11801-5530
(516) 822-7553
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
100650
NY
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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