Individual
DR. CHRISTINE ANTOLDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7136 110TH ST, STE SP1, FOREST HILLS, NY 11375-4850
(718) 268-4464
(718) 544-0430
Mailing address
147 MOTT ST, OCEANSIDE, NY 11572-5522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
XOO7258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5803328
GHI PROVIDER
NY
01
—
CO7258-9
WORKERS' COMPENSATION #
NY
01
—
P620882
OXFORD PROVIDER
NY
Enumeration date
11/03/2006
Last updated
08/15/2013
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