Organization Name: | ANTOINE KATINY MD |
NPI Number: | 1922200773 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTOINE KATINY (OWNER) |
Mailing Address: | 100 Hoylman Dr Gassaway |
State: | WV US |
Postal Code: | 266249321 |
Phone Number: | 3043641129 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 07/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | 17332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |