Individual
DR. JOSEFINA S. ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 PORTION RD STE 18, HOLTSVILLE, NY 11742-1074
(631) 732-2320
Mailing address
1150 PORTION RD STE 18, P.O. BOX 392, HOLTSVILLE, NY 11742-1074
(631) 732-2320
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
228454
NY
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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