Roberto Antonacci, MD | |
2780 Middle Country Rd, Suite 210, Lake Grove, NY 11755-2124 | |
(631) 588-4500 | |
(631) 588-4595 |
Full Name | Roberto Antonacci |
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Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 2780 Middle Country Rd, Lake Grove, 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 |
---|---|---|---|
1457302788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 216325 (New York) | Primary |
Entity Name | Nassau Suffolk Radiological Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295940435 PECOS PAC ID: 2769374651 Enrollment ID: O20040325001763 |
Entity Name | Suffolk Breast Imaging, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013027283 PECOS PAC ID: 4284628223 Enrollment ID: O20040413000013 |
Mailing Address | Practice Location Address |
---|---|
Roberto Antonacci, MD 2780 Middle Country Rd, Suite 210, Lake Grove, NY 11755-2124 Ph: (631) 588-4500 | Roberto Antonacci, MD 2780 Middle Country Rd, Suite 210, Lake Grove, NY 11755-2124 Ph: (631) 588-4500 |
Alexandra B Perkins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2780 Middle Country Rd, Suite 210, Lake Grove, NY 11755 Phone: 631-588-4500 Fax: 631-588-4595 | |
Dr. Randall Phillips, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2780 Middle Country Rd Ste 210, Lake Grove, NY 11755 Phone: 631-588-4500 Fax: 631-588-4595 |