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Individual

VERA S ANTONIOS

Active
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Individual

VERA S ANTONIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
002533
NY
207RI0200X
Infectious Disease Physician
Primary
259265
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02757133
NY
01
207SE34691
MEDICARE
NY
Enumeration date
09/26/2006
Last updated
05/25/2012
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