Thomas J Antonini, PA
Physician Assistant, Surgical in Syracuse, NY. Individual provider (NPI-1).
NPI number1366419848
StatusActive
Last updated in NPPESApr 16, 2008
Details
- NPI
- 1366419848
- Entity type
- Individual (NPI-1)
- Name
- Thomas J Antonini
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2006
- Last updated
- Apr 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 002613 | NY | Yes |
Practice location
750 E Adams StSyracuse, NY 13210-2342
Phone 315-436-2240 · Fax 315-448-6126
Mailing address
750 E Adams StSyracuse, NY 13210-2342
Phone 315-436-2240 · Fax 315-448-6126
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