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Jorge M Antonetti, PA

Physician Assistant in Schenectady, NY. Individual provider (NPI-1).

NPI number1366470692
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1366470692
Entity type
Individual (NPI-1)
Name
Jorge M Antonetti
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant009973-1NYYes

Practice location

1101 Nott St
@ Ellis Hospital Er Dept.
Schenectady, NY 12308-2425

Phone 518-243-4121 · Fax 518-383-4223

Mailing address

Po Box 1351
Schenectady, NY 12301-1351

Phone 518-470-4589

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