Antillon, Andrew M

Antillon, Andrew M is an individual health care provider with primary practice located at 327 Beach 19Th St , Far Rockaway NY 11691-4423. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Antillon, Andrew M can be contacted via phone (214) 771-6210.

Contact Information

Primary practice address
327 Beach 19Th St Far Rockaway NY 11691-4423
Phone: (214) 771-6210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X T7854 Texas

Profile Details

NPI number 1952867558
LBN Legal business name Antillon, Andrew M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2019
Last updated Jun 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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