Individual
THOMAS J ANTONINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 436-2240
(315) 448-6126
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 436-2240
(315) 448-6126
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002613
NY
Other
Enumeration date
03/03/2006
Last updated
04/16/2008
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