Individual provider · NPI-1
Ronny Antony, DO
Hospitalist · Mineola, NY
NPI number1720660426
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1720660426
- Entity type
- Individual (NPI-1)
- Name
- Ronny Antony
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2021
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 330451 | NY | Yes |
| 207R00000X | Internal Medicine | 330451 | NY |
Practice location
259 1st St Rm 291Mineola, NY 11501-3957
Phone 516-663-8963 · Fax 516-663-8964
Mailing address
700 Hicksville Rd Ste 205Bethpage, NY 11714-3472
Phone 465-013-2296
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