Individual provider · Type 1 NPI
Carlota Gabriel Antonio, NP
Primary Care Nurse Practitioner · Elmhurst, NY
NPI number
1003937277
Active
Practice location
80th St & 41st Ave
Elmhurst, NY 11373
Fax (718) 334-5958
Mailing address
7901 Broadway, Managed Care, D1-01
Elmhurst, NY 11373-1329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | F430199 (NY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1003937277
Carlota Gabriel Antonio, NP's National Provider Identifier is 1003937277, issued on Apr 3, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Elmhurst, NY. The record was last updated on Jul 8, 2007.