Individual
NATALIYA ANTONOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2185 WANTAGH AVE, WANTAGH, NY 11793-3917
(516) 785-3900
Mailing address
2185 WANTAGH AVE, WANTAGH, NY 11793-3917
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.159267
IL
207WX0120X
Cornea and External Diseases Specialist Physician
322098-01
NY
207WX0120X
Cornea and External Diseases Specialist Physician
77419
CT
Other
Enumeration date
03/21/2018
Last updated
06/11/2024
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