Individual
ANASTASIA ANTONOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
175 I U WILLETS RD STE 2, ALBERTSON, NY 11507-1342
(516) 625-6222
Mailing address
175 I U WILLETS RD STE 2, ALBERTSON, NY 11507-1342
(516) 625-6222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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