DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THEODORE ANTONETZ, D.P.M.

Active Sole Proprietor

DR. THEODORE ANTONETZ, D.P.M. is a Podiatrist healthcare provider located in NYC, New York. NPI 1083714554 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · NYC, NY

Registration Details

NPI Number
1083714554
Provider Type
Individual
Gender
Male
NPI Issued
Sep 25, 2006 (19.882171139309 yrs)
Last Updated
Aug 6, 2010
License
N004056 (NY)
Sole Proprietor
Yes

Practice Information

Address
185 WEST END AVENUE
SUITE 1N
NYC, NY, 10023
Browse NY providers · Browse ZIP 10023
Phone
2128773062
Fax
2128739521
Primary Specialty
Podiatrist
213E00000X

Other Podiatrist Providers in NYC, NY

Name Credential NPI
DR. PAUL H ROSEN DPM 1881684793
DR. DIANA CASTRO D.P.M. 1518993476
JALEH HOORFAR DPM 1679628077
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.