Individual
DR. ANTONIOS LEONIDAS VLANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17003 NORTHERN BLVD, FLUSHING, NY 11358-2709
(718) 358-0554
Mailing address
17003 NORTHERN BLVD, FLUSHING, NY 11358-2709
(718) 358-0554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
167859
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00993540
—
NY
Enumeration date
07/06/2006
Last updated
07/08/2007
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