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

DR. ANDREW M ANTILLON, DO

Active

DR. ANDREW M ANTILLON, DO is a Family Medicine healthcare provider located in FAR ROCKAWAY, New York. NPI 1952867558 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FAR ROCKAWAY, NY

Registration Details

NPI Number
1952867558
Provider Type
Individual
Gender
Male
NPI Issued
Feb 19, 2019 (7.5010461257743 yrs)
Last Updated
Jun 13, 2022
License
T7854 (TX)

Practice Information

Address
327 BEACH 19TH ST
FAR ROCKAWAY, NY, 116914423
Browse NY providers · Browse ZIP 11691
Phone
2147716210
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in FAR ROCKAWAY, NY

Name Credential NPI
DR. ROBERT FARRON D.O. 1245237098
DR. SAWAT LOSOPONKUL MD 1265476915
VALERIY KAYROV MD, DO 1649214305
DR. SABINE M FEDNARD M.D. 1851442560
DR. LARISA V. KLEYMENOVA M.D. 1841325339
DR. SALLI LAUFER M.D. 1033244538
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.