MEDICARE: DEANNA ANTONOW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist

General Provider Information

NPI Number	:	1114036035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA ANTONOW

Provider Business Mailing Address
First Line	:	RD2 BOX335
Second Line	:
City	:	ROME
State	:	PA
Zip	:	18837
Country	:	US
Telephone Number	:	570-247-2749
Fax Number	:

Provider Business Practice Location Address
First Line	:	1537 ELMIRA ST
Second Line	:
City	:	SAYRE
State	:	PA
Zip	:	18840-9254
Country	:	US
Telephone Number	:	570-888-6803
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1700851839 — AMY G WELCH
Practice Location Address:

1537 ELMIRA ST
SAYRE, PA
18840-9254

Practice Phone: 570-888-6803
Practice Fax: 570-888-2025

1669410262 — WILKES BARRE VAMC
Practice Location Address:

1537 ELMIRA ST
SAYRE, PA
18840-9254

Practice Phone: 717-277-6565
Practice Fax:

1609892512 — RICHARD LEE ELLER M.D.
Practice Location Address:

1537 ELMIRA ST
SAYRE, PA
18840-9254

Practice Phone: 570-888-6803
Practice Fax: 570-888-2025

1831117985 — DR. MICHAEL FRANCIS BOYEK M.D.
Practice Location Address:

1537 ELMIRA ST
SAYRE, PA
18840-9254

Practice Phone: 570-888-6803
Practice Fax: 570-888-5512

1376642637 — ECKERD CORPORATION
Practice Location Address:

1593 ELMIRA STREET
SAYRE, PA
18840-9254

Practice Phone: 570-888-2369
Practice Fax:

1083896963 — MARK DAVID KINNER
Practice Location Address:

1593 ELMIRA ST
SAYRE, PA
18840-9254

Practice Phone: 570-888-2369
Practice Fax:

Directions to “ DEANNA ANTONOW ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.