Most Relevant Information
Provider Data
| NPI Number: | 1003449638 |
| Provider Name: | NATASHA ANTONY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/21/2020 |
| Last Updated: | 08/16/2024 |
Provider Practice Location
11050 MT BELVEDERE BLVD
WATERTOWN
NY
136022603
Practice Location Phone/Fax
| Phone: | 3157796671 |
| Fax: |
Provider Mailing Location
11050 MOUNT BELVEDERE BLVD
FORT DRUM
NY
136025438
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |