ANTONETTA L ANTONAZZO NP

RIDDLE MEDICAL LLC

Dr ANTONETTA L ANTONAZZO NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2004.

Contact

RIDDLE MEDICAL LLC

149 BALLSTON AVE
BALLSTON SPA
NY
120201946

Tel: 8004031250

ANTONETTA L ANTONAZZO NP Information

Npi 1518959303
Pac Id 8820004823
Professional Enrollment Id I20060228000798
Last Name ANTONAZZO
First Name ANTONETTA
Middle Name L
Suffix
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 2004
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RIDDLE MEDICAL LLC
Group Practice Pac Id 7113937103
Number Of Group Practice Members 4
Line 1 Street Address 149 BALLSTON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BALLSTON SPA
State NY
Zip Code 120201946
Phone Number 8004031250
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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