Individual
DR. LISA R ANTONOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
17 PARK AVE, NEW YORK, NY 10016-4324
(212) 213-1897
(212) 213-8497
Mailing address
17 PARK AVE, NEW YORK, NY 10016-4324
(212) 213-1897
(212) 213-8497
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
040744
NY
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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