Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IVAN ANTONEVICH, MD
ActiveDR. IVAN ANTONEVICH, MD is a Interventional Vascular Surgery healthcare provider located in NEW HARTFORD, New York. NPI 1043256118 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · NEW HARTFORD, NY
Registration Details
- NPI Number
- 1043256118
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2006 (20.16883285542 yrs)
- Last Updated
- Jul 25, 2016
- License
-
229252 (NY)
Practice Information
- Address
-
1729 BURRSTONE RDNEW HARTFORD, NY, 134131001Browse NY providers · Browse ZIP 13413
- Phone
- 3157981567
- Fax
- 3157981565
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.