National Provider Identifier Database

THEODORE ANTONETZ, DPM – NPI #1083714554
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

THEODORE ANTONETZ, DPM
185 WEST END AVENUE
SUITE 1N
NEW YORK, NY10023
Phone: 212-877-3062
Fax: 212-873-9521
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for THEODORE ANTONETZ

NPI Number 1083714554
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/25/2006
Last updated 08/06/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: N004056
  • NY Other: P43851 BLUE CROSS/BLUE SHIELD
Hospital affiliation n/a

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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