DR. JOSEFINA S. ANTONIO (NPI# 1528286440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528286440 |
| Entity Type | Individual |
| Full Name | DR. JOSEFINA S. ANTONIO |
| Credential | M.D. |
| Practice Address |
1150 Portion Rd Ste 18 Holtsville NY 11742-1074 |
| Mailing Address |
1150 Portion Rd Ste 18 P.o. Box 392 Holtsville NY 11742-1074 |
| Practice Telephone | 6317322320 |
| Mailing Telephone | 6317322320 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
228454 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1150 PORTION RD STE 18 |
| City | HOLTSVILLE |
| State | NY |
| Zip Code | 11742-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907210 | Brittany Ann Rachuta | Licensed Practical Nurse | 11 Spiral Rd, Holtsville, NY 11742 | 2020-03-16 |
| 1679075089 | Gertha Therese Benoit-hollis | Nurse Practitioner | 5 Fisk Rd, Holtsville, NY 11742 | 2018-03-01 |
| 1437665031 | Amanda Namorato | Speech-Language Pathologist | 1111 Waverly Ave, Holtsville, NY 11742 | 2017-12-18 |
| 1003363656 | Dana Ann Vincent | Registered Nurse | 355 Plad Boulevard, Holtsville, NY 11742 | 2016-09-01 |
| 1992178792 | Fazila Duman | Social Worker | 98 5th Ave, Holtsville, NY 11742 | 2015-11-03 |
| 1659767648 | Suzana X Sula | Licensed Practical Nurse | 263 Blue Point, Long Island, NY 11742 | 2015-04-07 |
| 1366787707 | Rodolfo Diaz Deoquino Sr. | General Practice | 27 Summerfield Drive, Holtsville, NY 11742 | 2012-12-11 |
| 1154441004 | Barbara Ann De Feo | Nurse Practitioner | 107 West Main St., East Islip, NY 11742 | 2007-03-31 |
| 1013051341 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 298 Long Island Avenue, Holtsville, NY 11742 | 2007-02-19 |
| 1093861650 | Jessica Arnoux Speech Therapy | Local Education Agency (LEA) | 18 Glen Hollow Drive F5, Holtsville, NY 11742 | 2007-01-26 |
| Find all providers in zip 11742 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
| 1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
| City | HOLTSVILLE |
| Zip Code | 11742 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.