| Doctor Name: | MR. ANTONIO ORDINAL KING |
| NPI Number: | 1154660637 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PAC |
| License Number: | 016324 |
| Business Practice Address: | 7924 Jamaica Ave Woodhaven, NY - 114211801 |
| Business Phone Number: | 7188050037 |
| Business Fax Number: | |
| Mailing Address: | 521 Wyona St 1f, BROOKLYN |
| State: | NY |
| Postal Code: | 112075411 |
| Phone Number: | 3477441511 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2013 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 016324 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |