| Doctor Name: | CARLOTA GABRIEL ANTONIO |
| NPI Number: | 1003937277 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F430199 |
| Business Practice Address: | 80th St & 41st Ave Elmhurst, NY - 11373 |
| Business Phone Number: | 7183342424 |
| Business Fax Number: | 7183345958 |
| Mailing Address: | 7901 Broadway, Managed Care, D1-01 ELMHURST |
| State: | NY |
| Postal Code: | 113731329 |
| Phone Number: | 7183341921 |
| Fax Number: | 7183343432 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | F430199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |