Individual
DR. KENNETH DAVID ANTHONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
170 MAPLE RD, WILLIAMSVILLE, NY 14221-2930
(716) 634-6100
(716) 204-9084
Mailing address
PO BOX 807, GETZVILLE, NY 14068-0807
(716) 634-6100
(716) 204-9084
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1364173
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000508177003
BLUE SHIELD OUT OF AREA
—
01
—
000508177007
BLUE SHIELD OF WNY
NY
05
—
00673547
—
NY
01
—
0498441
GHI
—
01
—
10004501
UNIVERA
—
01
—
10136000
FIDELIS CARE NY
—
01
—
1364173
WORKERS COMPENSATION
—
01
—
161386798
AARP
—
01
—
808078
INDEPENDENT HEALTH
—
01
—
820000180
MEDICARE RAILROAD
—
Enumeration date
08/18/2005
Last updated
11/19/2010
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