LIANA JON ANTONUCCI
NPI 1033687470
Specialist in Bayside, NY

Active since November 03, 2018
21408 40TH AVE, BAYSIDE, NY 11361(845) 558-8814 Get Directions Write a Review

NPPES record last updated: November 3, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist

About LIANA ANTONUCCI

This page provides the complete NPI Profile along with additional information for Liana Antonucci, a provider established in Bayside, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1033687470 assigned on November 2018. The practitioner's primary taxonomy code is 174400000X with license number 1208684181 (NY). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1033687470 Verify this NPI
Provider Name
LIANA JON ANTONUCCI
Gender
Female
Entity Type
Individual
Location Address
21408 40TH AVE BAYSIDE, NY 11361
Location Phone
(845) 558-8814
Mailing Address
21408 40TH AVE BAYSIDE, NY 11361
Mailing Phone
(845) 558-8814
Is Sole Proprietor?
Yes
Enumeration Date
11-03-2018
Last Update Date
11-03-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
1208684181
License State
NY
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033687470, enumerated as an "individual" on November 03, 2018.

The provider is located at 21408 40TH AVE BAYSIDE, NY 11361 and the phone number is (845) 558-8814.

Specialist with taxonomy code 174400000X.