Organization
ANTONIOS VLANTIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIOS L VLANTIS MD (OWNER)
(718) 267-0510
Entity
Organization
Contact information
Practice address
170-03 NORTHERN BLVD, FLUSHING, NY 11358
(718) 267-0510
Mailing address
170-03 NORTHERN BLVD, FLUSHING, NY 11358
(718) 267-0510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00993540
—
NY
Enumeration date
09/08/2008
Last updated
09/08/2008
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