Individual
DAVID H ANTECOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19436 HOWELL DR, SUITE A, WATERTOWN, NY 13601-6459
(315) 786-2000
(315) 786-2899
Mailing address
19436 HOWELL DR, SUITE A, WATERTOWN, NY 13601-6459
(315) 786-2000
(315) 786-2899
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2090561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01658391
—
NY
Enumeration date
01/05/2006
Last updated
02/25/2015
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