Organization
DR. THEODORE ANTONETZ, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE ANTONETZ DPM (OWNER)
(212) 877-3062
Entity
Organization
Contact information
Practice address
185 W END AVE, SUITE 1N, NEW YORK, NY 10023-5539
(212) 877-3062
(212) 873-9521
Mailing address
6 FRANCES DR, KATONAH, NY 10536-3211
(212) 877-3062
(212) 873-9521
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01008924
—
NY
Enumeration date
03/26/2014
Last updated
03/26/2014
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