Provider Demographics
NPI:1073627311
Name:ANTHONE, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:ANTHONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2121 MAIN ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-2693
Mailing Address - Country:US
Mailing Address - Phone:716-836-7510
Mailing Address - Fax:716-836-7511
Practice Address - Street 1:2121 MAIN ST
Practice Address - Street 2:SUITE 209
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-2693
Practice Address - Country:US
Practice Address - Phone:716-836-7510
Practice Address - Fax:716-836-7511
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2011-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY168821-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01136561Medicaid
NY161406691OtherNORTH AMERICAN PREFERRED
NY2002705OtherINDEPENDENT HEALTH
NY10104630OtherFIDELIS
NY161406691OtherEMPIRE
NY00011179201OtherUNIVERA
NY005105974OtherBLUE CROSS
NY050073606OtherRRM
NY161406691OtherGHI
NY161406691OtherMAGNACARE
NY1688217CANOtherWORKMAN'S COMP
NY161406691OtherMAGNACARE
NYF56516Medicare UPIN