Individual
MISS ANNALENE G ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 375-1200
(718) 382-3358
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 375-1200
(718) 382-3358
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110
INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER
NY
Enumeration date
08/09/2012
Last updated
08/09/2012
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