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1043256118
IVAN ANTONEVICH
NEW HARTFORD, NY
NPI
1043256118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: NY 229252)
Enumeration Date
2006-06-20
Last Update Date
2016-07-25
Business Address
Dr. IVAN ANTONEVICH MD
1729 BURRSTONE RD
NEW HARTFORD, NY 13413-1001
Phone number: 315-798-1567
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Mailing Address
Dr. IVAN ANTONEVICH MD
1729 BURRSTONE RD
NEW HARTFORD, NY 13413-1001
Phone number: 315-798-1567
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