NPI 1043256118

Ivan Antonevich, MD

Practitioner Interventional Pain Medicine Physician New Hartford, NY

Practice location

Address: 1729 Burrstone Rd, New Hartford, NY 13413-1001
Phone: (315) 798-1567
Fax: (315) 798-1565

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 229252 (NY)

Other Pain Medicine providers in New York →

Registry record

NPI: 1043256118
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2006
Record last updated: 25 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.