Alan Antonelli M.d. Pc | |
18904 Union Tpke Fresh Meadows NY 11366-1862 | |
(718) 217-1414 | |
(718) 217-1669 |
Full Name | Alan Antonelli M.d. Pc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 18904 Union Tpke, Fresh Meadows, New York |
Authorized Official Name and Position | Alan Antonelli (PRESIDENT) |
Authorized Official Contact | 7182171414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alan Antonelli M.d. Pc 18904 Union Tpke Queens Fresh Meadows NY 11366-1862 Ph: (718) 217-1414 | Alan Antonelli M.d. Pc 18904 Union Tpke Fresh Meadows NY 11366-1862 Ph: (718) 217-1414 |
NPI Number | 1467826529 |
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Provider Enumeration Date | 11/30/2015 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467826529 | NPI | - | NPPES |
1063565950 | Other | NPI | |
132116 NEW YORK | Other | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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