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Individual

ROBERT W ANTONELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
311 NORTH ST, ROOM 402, WHITE PLAINS, NY 10605-2217
(914) 949-7171
(914) 949-7719
Mailing address
311 NORTH ST, ROOM 403, WHITE PLAINS, NY 10605-2217
(914) 949-7171
(914) 949-7719

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
183668
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01355962
NY
Enumeration date
12/13/2005
Last updated
08/11/2010
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