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1730286485
ATHANASIOS ANTONIADIS
WEST ISLIP, NY
NPI
1730286485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 1831001)
Enumeration Date
2006-09-17
Last Update Date
2014-04-09
Business Address
-- ATHANASIOS ANTONIADIS M.D.
750 MONTAUK HWY
WEST ISLIP, NY 11795-4411
Phone number: 631-376-1010
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Mailing Address
-- ATHANASIOS ANTONIADIS M.D.
750 MONTAUK HWY
WEST ISLIP, NY 11795-4411
Phone number: 631-376-1010
Copy
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