Diantonio, Michael
Diantonio, Michael is an individual health care provider with primary practice located at 80 B Veterans Blvd , Acoma NM 87034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Diantonio, Michael can be contacted via phone (505) 552-5300.Contact Information
Primary practice address
80 B Veterans Blvd
Acoma NM 87034
Phone: (505) 552-5300
Fax: (505) 552-5490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME105541 | Florida |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 169638 | New York |
Profile Details
| NPI number | 1528118163 |
|---|---|
| LBN Legal business name | Diantonio, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Mar 20th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528118163 | NPPES |
| New York | MEDICAID | 01395500 | |
| New York | MEDICAID | H3451 |
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