Individual
DANIEL ANTONIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E. 210TH STREET, BRONX, NY 10461
(718) 920-6444
Mailing address
319 WEST 100TH STREET 2A, NEW YORK, NY 10025
(917) 545-9233
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
243945
NY
Other
Enumeration date
11/27/2006
Last updated
04/25/2012
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