Individual
EBONICK ANTOINETTE MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2517 BROOKHAVEN AVE, FAR ROCKAWAY, NY 11691-2016
(347) 468-2900
Mailing address
2517 BROOKHAVEN AVE, FAR ROCKAWAY, NY 11691-2016
(347) 468-2900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
09/13/2022
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