Individual
ANTONINA AVANZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1133 YORK AVE, NEW YORK, NY 10065-8307
(212) 639-2000
Mailing address
565 W 125TH ST APT 6D, NEW YORK, NY 10027-3425
(631) 834-2771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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