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DR. MICHELLE E ANTILES DO

>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1306811237

Individual Registrant:
DR. MICHELLE E ANTILES DO
Gender: F
Not Sole Proprietor

Location and contact information for practice:
100 PARK ST  GLENS FALLS, NY 12801-4413 US
Tel: 518-926-6110  Fax: 518-926-6116

Contact information for business:
PO BOX 304 ADIRONDACK MEDICAL SERVICES GLENS FALLS, NY 12801-0304 US
Tel: 518-926-5924  Fax: 518-926-6983

Registration Information:
NPI: 1306811237
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XAllopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation
NY19155455

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
01788852NY05




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