Healthcare Provider Details

I. General information

NPI: 1053734863
Provider Name (Legal Business Name): CHRISTINA MARIA ANTOINE M.D.,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2014
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 PINE WOODS RD STE 5
HYDE PARK NY
12538-1650
US

IV. Provider business mailing address

7 PINE WOODS RD STE 5
HYDE PARK NY
12538-1650
US

V. Phone/Fax

Practice location:
  • Phone: 845-315-4425
  • Fax:
Mailing address:
  • Phone: 845-315-4425
  • Fax: 845-231-6367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number281101
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number281101
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number60281101
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: