Provider Information for 1568968162
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ANKITHA ANTONY
Sex: Female
NPI: 1568968162
Last Updated: 2023-01-17
Certification Date: 2023-01-17
Certification Date: 2023-01-17
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568968162 | ||||||||||||||
| Enumeration Date | 2018-04-03 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 263 FARMINGTON AVENUE FARMINGTON, CT 06030-8082 United States Phone: 860-679-4477 | Fax:860-679-1025 | ||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVENUE FARMINGTON, CT 06030-6245 United States Phone: 860-679-4477 | Fax:860-679-1025 | ||||||||||||||
| Secondary Practice Address(es) | 1710 HARRISON ST | ||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|