Mark Antosh (NPI# 1295746584, PAC ID# 2668378258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1295746584 |
| PAC ID by PECOS | 2668378258 |
| Professional Enrollment ID | I20040504001553 |
| Full Name | Mark Antosh |
| Address |
824 Franklin Park Dr East Syracuse NY 13057-1642 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 824 Franklin Park Dr, East Syracuse, NY 13057-1642 |
| Street Address |
824 FRANKLIN PARK DR |
| City | EAST SYRACUSE |
| State | NY |
| Zip | 13057-1642 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Girardi | Optometry | 824 Franklin Park Dr, East Syracuse, NY 13057-1614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Desta R Anthony | Nurse Practitioner | Loretto Rest Realty Corporation | 115 Creek Cir, East Syracuse, NY 13057-1369 |
| Douglas Berkley Tucker | Internal Medicine | Loretto Rest Realty Corporation | 115 Creek Cir, East Syracuse, NY 13057-1369 |
| Miles R Wiltse | Chiropractic | 6449 Kirkville Rd, East Syracuse, NY 13057-1600 | |
| Bruce J Jones | Clinical Social Worker | 160 Watertree Dr, E Syracuse, NY 13057-1921 | |
| Richard B Dixon | Chiropractic | 405 Kinne St, East Syracuse, NY 13057-2019 | |
| David Porter | Nurse Practitioner | St Josephs Hospital Health Center | 302 Upton St, East Syracuse, NY 13057-2308 |
| Ryan L D Amico | Podiatry | Ryan Damico Dpm Pllc | 7075 Manlius Ctr Rd, East Syracuse, NY 13057-2607 |
| Kathleen M Pyatak-hugar | Podiatry | Ryan Damico Dpm Pllc | 7075 Manlius Ctr Rd, East Syracuse, NY 13057-2607 |
| Donal M Erickson | Podiatry | Ryan Damico Dpm Pllc | 7075 Manlius Ctr Rd, East Syracuse, NY 13057-2607 |
| George T Cunningham | Chiropractic | 210 Old Bridge St, East Syracuse, NY 13057-2810 | |
| Find all physicians in zip 13057 | |||
| City | EAST SYRACUSE |
| Zip Code | 13057 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | EAST SYRACUSE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Mark Antosh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.