Individual provider · NPI-1

Koshnaf Antar, MD

Internal Medicine, Rheumatology · Middletown, NY

NPI number1720194152
StatusActive
Last updated in NPPESAug 1, 2008

Details

NPI
1720194152
Entity type
Individual (NPI-1)
Name
Koshnaf Antar
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 21, 2006
Last updated
Aug 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RR0500X Internal Medicine, Rheumatology219104NYYes

Practice location

111 Maltese Dr
Middletown, NY 10940

Phone 845-342-4774 · Fax 845-818-7555

Mailing address

111 Maltese Dr
Middletown, NY 10940

Phone 845-342-4774 · Fax 845-818-7555

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