Individual
DR. MICHELLE E ANTILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1270 BELMONT AVE, SCHENECTADY, NY 12308-2104
(518) 382-4560
(518) 386-3619
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
191554
NY
208100000X
Physical Medicine & Rehabilitation Physician
19155455
NY
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
191554
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01788852
—
NY
Enumeration date
02/22/2006
Last updated
12/20/2021
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