Individual
VERA S ANTONIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
123-125 WEST. 124TH STREET, NEW YORK, NY 10027-4920
(212) 531-1300
(212) 849-2786
Mailing address
33 REYNAL RD, WHITE PLAINS, NY 10605-3924
(917) 945-9415
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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