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NPI Code Detail

MEDICARE: DR. HEINO R. ANTO M.D.

MEDICARE: DR. HEINO R. ANTO M.D.
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
1207RN0300XNephrology Physician123006NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184682262
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEINO R. ANTO M.D.
Provider Business Mailing Address
First Line : 5115 BEACH CHANNEL DR
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-1042
Country : US
Telephone Number : 718-734-2870
Fax Number : 718-734-2247
Provider Business Practice Location Address
First Line : 5115 BEACH CHANNEL DR
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-1042
Country : US
Telephone Number : 718-734-2870
Fax Number : 718-734-2247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 12/27/2007

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