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Individual

DR. CECILY MALIAKAL ANTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
521 ROUTE 111, HAUPPAUGE, NY 11788-4370
(631) 724-4455
(631) 724-4490
Mailing address
521 ROUTE 111, HAUPPAUGE, NY 11788-4370
(631) 724-4455
(631) 724-4490

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
145353
NY

Other

Enumeration date
01/16/2007
Last updated
07/08/2007
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