NPI 1902300296 · live from the CMS NPI Registry
Nataliya Antonova, MD
Ophthalmology in Wantagh, NY. National Provider Identifier 1902300296, active.
NPI record
| NPI | 1902300296 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2185 Wantagh Ave, Wantagh, NY 11793 |
| Practice phone | 516-785-3900 |
| Enumerated | March 21, 2018 |
| Last updated | June 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 036.159267 (IL) |
| Ophthalmology, Cornea and External Diseases Specialist | 207WX0120X | 322098-01 (NY) |
| Ophthalmology, Cornea and External Diseases Specialist | 207WX0120X | 77419 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.