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Contact Information

SANDRA K ANTONIAK, MD
3500 N SABINO CANYON RD UNIT 54
TUCSON, AZ85750-6141
 Phone: 402-305-1921
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Forensic Psychiatry

2084F0202X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SANDRA K ANTONIAK · (Female)

NPI Number 1891992285
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2007
Last updated 12/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 266006
  • NY Medicaid 03615758
  • NY Other 266006 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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