Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERTO ANTONACCI, M.D.
ActiveROBERTO ANTONACCI, M.D. is a Radiation Oncology healthcare provider located in LAKE GROVE, New York. NPI 1457302788 is currently active in the NPPES registry. Verify at CMS.
Radiation Oncology · LAKE GROVE, NY
Registration Details
- NPI Number
- 1457302788
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2006 (20.286246934465 yrs)
- Last Updated
- Jul 8, 2007
- License
-
216325 (NY)
Practice Information
- Address
-
2780 MIDDLE COUNTRY RDSUITE 210LAKE GROVE, NY, 117552124Browse NY providers · Browse ZIP 11755
- Phone
- 6315884500
- Fax
- 6315884595
- Primary Specialty
-
Radiation Oncology
2085R0001X
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.