Antonio Jose Figueroa

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Garnerville, NY

NPI 1245501006 · NPPES record last updated Jan 25, 2012

Key facts

NPI
1245501006
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
008082-1 (NY)
Practice address
12 Forest Dr Apt a
Garnerville, NY 10923-2141
Phone
(845) 709-2900
NPI assigned
Jan 25, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
008082-1NYMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 008082-1 NY Yes

Addresses

Primary practice location

12 Forest Dr Apt a
Garnerville, NY 10923-2141

Mailing address

12 Forest Dr Apt a
Garnerville, NY 10923-2141
Phone (845) 709-2900

Other providers in Garnerville, NY

All providers in Garnerville, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.