Individual
MR. RAY A ANTOINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
650 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3600
Mailing address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-7680
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403023
NY
Other
Enumeration date
03/25/2010
Last updated
09/29/2020
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