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Individual

DR. MATTHEW J ANTONELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
1 PARK AVE FL 8, NEW YORK, NY 10016-5802
(212) 263-7419
(212) 263-7460
Mailing address
44 MACDONOUGH ST APT 4B, BROOKLYN, NY 11216-2364
(267) 210-5249

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
301439
NY

Other

Enumeration date
06/14/2017
Last updated
03/28/2022
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