Rose S Antilus, MD
Specialist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1982604740
StatusActive
Last updated in NPPESJan 4, 2016
Details
- NPI
- 1982604740
- Entity type
- Individual (NPI-1)
- Name
- Rose S Antilus
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2005
- Last updated
- Jan 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 233379-1 | NY | Yes |
Practice location
967 48th StBrooklyn, NY 11219-2919
Phone 718-283-3000
Mailing address
967 48th StBrooklyn, NY 11219-2919
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