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Contact Information

ROBERTO ANTONACCI, MD
2780 MIDDLE COUNTRY RD
SUITE 210
LAKE GROVE, NY11755-2124
 Phone: 631-588-4500
 Fax: 631-588-4595
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for ROBERTO ANTONACCI · (Male)

NPI # 1457302788
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 216325
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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