Individual
MS. CONSTANCE ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 291-6094
Mailing address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 291-6094
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00073700
NJ
363LA2100X
Acute Care Nurse Practitioner
F430237-1
NY
Other
Enumeration date
07/24/2006
Last updated
01/10/2012
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