Filip Antic, MD | |
130 W Kingsbridge Rd, Bronx, NY 10468-3904 | |
(718) 584-9000 | |
Not Available |
Full Name | Filip Antic |
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Gender | Male |
Speciality | Internal Medicine |
Location | 130 W Kingsbridge Rd, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1205397858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 318105 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Entity Name | East Post Road Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841767274 PECOS PAC ID: 6406198506 Enrollment ID: O20190419000178 |
Mailing Address | Practice Location Address |
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Filip Antic, MD 13 Deercrest Sq, Indian Head Park, IL 60525-4433 Ph: (312) 877-6604 | Filip Antic, MD 130 W Kingsbridge Rd, Bronx, NY 10468-3904 Ph: (718) 584-9000 |
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