Individual
DR. ACHILLE ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PSY.D,PA-C
Contact information
Practice address
1111 HAZEN ST, EAST ELMHURST, NY 11370-1377
(718) 496-7964
(718) 496-7964
Mailing address
PO BOX 100051, BROOKLYN, NY 11210-0051
(718) 496-7964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008537
LICENSE NUMBER
NY
Enumeration date
02/26/2007
Last updated
07/17/2013
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