Individual
MADELIN CLARE ANTAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(646) 784-0525
Mailing address
301 E 79TH ST APT 37G, NEW YORK, NY 10075-0941
(609) 933-2616
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433160
NY
363LA2100X
Acute Care Nurse Practitioner
SP025056
PA
Other
Enumeration date
12/19/2021
Last updated
03/19/2025
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