Individual provider · NPI-1

Karin A. Antaky, NP

Nurse Practitioner, Family · Mineola, NY

NPI number1760628234
StatusActive
Last updated in NPPESJan 20, 2014

Details

NPI
1760628234
Entity type
Individual (NPI-1)
Name
Karin A. Antaky
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 5, 2009
Last updated
Jan 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family333110NYYes

Practice location

200 Old Country Rd
Suite 370
Mineola, NY 11501-4235

Phone 516-663-4525 · Fax 516-663-4532

Mailing address

200 Old Country Rd
Suite 370
Mineola, NY 11501-4235

Phone 516-663-4525 · Fax 516-663-4532

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