Individual provider · Type 1 NPI
Thomas J. Antonini, PA
Surgical Physician Assistant · Syracuse, NY
NPI number
1366419848
Active
Practice location
750 E Adams St
Syracuse, NY 13210-2342
Fax (315) 448-6126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 002613 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1366419848
Thomas J. Antonini, PA's National Provider Identifier is 1366419848, issued on Mar 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Syracuse, NY. The record was last updated on Apr 16, 2008.