D'Antonio, Mary Christine

D'Antonio, Mary Christine is an sole proprietor health care provider with primary practice located at 4720 S I 10 Service Rd W Suite 406, Metairie LA 70001-7404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. D'Antonio, Mary Christine can be contacted via phone (504) 457-2020.

Contact Information

Primary practice address
4720 S I 10 Service Rd W Suite 406 Metairie LA 70001-7404
Phone: (504) 457-2020
Fax: (504) 456-3113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 023344 Louisiana

Profile Details

NPI number 1295793693
LBN Legal business name D'Antonio, Mary Christine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated May 27th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295793693 NPPES
Louisiana MEDICAID 1496448

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