Antonetta L Antonazzo (NPI# 1518959303, PAC ID# 8820004823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518959303 |
| PAC ID by PECOS | 8820004823 |
| Professional Enrollment ID | I20060228000798 |
| Full Name | Antonetta L Antonazzo |
| Organization Legal Name | RIDDLE MEDICAL LLC |
| Address |
149 Ballston Ave Ballston Spa NY 12020-1946 |
| Phone Number | 8004031250 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7113937103 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 149 Ballston Ave, Ballston Spa, NY 12020-1946 | 8004031250 | RIDDLE MEDICAL LLC |
| 965 Dutchess Tpke, Poughkeepsie, NY 12603-1551 | 8004031250 | RIDDLE MEDICAL LLC |
| Organization Legal Name | RIDDLE MEDICAL LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salome G. Brown-burrell | Nurse Practitioner | Riddle Medical LLC | 100 Franklin St, Poughkeepsie, NY 12601-4341 |
| Katerina Listopad | Nurse Practitioner | Riddle Medical LLC | 300 Grant Ave, Lake Katrine, NY 12449-5340 |
| Laura A Fox-distefano | Nurse Practitioner | Riddle Medical LLC | 25 N Malcolm St, Ossining, NY 10562-3216 |
| Andria Guzi | Nurse Practitioner | Riddle Medical LLC | 260 Vineyard Ave, Highland, NY 12528-2343 |
| Elizabeth S George | Nurse Practitioner | Riddle Medical LLC | 25 N Malcolm St, Ossining, NY 10562-3216 |
| Asha Abraham | Nurse Practitioner | Riddle Medical LLC | 25 N Malcolm St, Ossining, NY 10562-3216 |
| Albert L Riddle | Geriatric Medicine | Riddle Medical LLC | 25 N Malcolm St, Ossining, NY 10562-3216 |
| Street Address |
149 BALLSTON AVE |
| City | BALLSTON SPA |
| State | NY |
| Zip | 12020-1946 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neville E Walker | Physical Medicine and Rehabilitation | 149 Ballston Ave, Ballston Spa, NY 12020-1946 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kieran Mccoy | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Samuel R Grady | Physician Assistant | Healthcare Partners of Saratoga Ltd | 6 Medical Park Blvd, Malta, NY 12020 |
| Frank H Westad | Nurse Practitioner | Ellis Hospital | 2537 Route 9, Suite 203, Malta, NY 12020 |
| Michelle L Ryan | Nurse Practitioner | Malta Medical Care, P.C. | 2554 Route 9, Ballston Spa, NY 12020 |
| Katie Vittengl Yeaton | Nurse Practitioner | Malta Medical Care, P.C. | 2554 Route 9, Ballston Spa, NY 12020 |
| Morgan J Vittengl | Family Medicine | Malta Medical Care, P.C. | 2554 Route 9, Ballston Spa, NY 12020 |
| Zachary Cole | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Jeanine Marie Burke | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Courtney B Diamond | Nurse Practitioner | Ellis Hospital | 2537 Route 9, Suite 203, Malta, NY 12020 |
| Shane M Cherico | Physical Therapy | Sports Physical Therapy of New York, P.C. | 4102 Ellsworth Blvd, Malta, NY 12020 |
| Find all physicians in zip 12020 | |||
| City | BALLSTON SPA |
| Zip Code | 12020 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BALLSTON SPA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Antonetta L Antonazzo.
| 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.