Individual
DR. AARON JOSHUA ANTILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 CAREY RD, QUEENSBURY, NY 12804-7830
(518) 793-1000
(518) 761-4674
Mailing address
PO BOX 985, GLENS FALLS, NY 12801-0985
(518) 793-1000
(518) 761-4674
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
191380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01831709
—
NY
Enumeration date
09/19/2005
Last updated
06/06/2022
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