Provider Demographics
NPI:1427040294
Name:ANTHONE, KENNETH DAVID (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:DAVID
Last Name:ANTHONE
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
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Mailing Address - Street 1:PO BOX 807
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-0807
Mailing Address - Country:US
Mailing Address - Phone:716-634-6100
Mailing Address - Fax:716-204-9084
Practice Address - Street 1:170 MAPLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2930
Practice Address - Country:US
Practice Address - Phone:716-634-6100
Practice Address - Fax:716-204-9084
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2010-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1364173207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0498441OtherGHI
10004501OtherUNIVERA
161386798OtherAARP
161386798OtherEMPIRE/UNITED HEALTHCARE
NY00673547Medicaid
161386798OtherMAILHANDLERS
808078OtherINDEPENDENT HEALTH
000508177003OtherBLUE SHIELD OUT OF AREA
161386798OtherMASS MUTUAL
161386798OtherGERBER LIFE INS
161386798OtherGUARDIAN
10136000OtherFIDELIS CARE NY
161386798OtherFIRST HEALTH
1364173OtherWORKERS COMPENSATION
161386798OtherEYEMED VISION
NY000508177007OtherBLUE SHIELD OF WNY
161386798OtherAETNA
820000180OtherMEDICARE RAILROAD
161386798OtherFIRST HEALTH
161386798OtherMAILHANDLERS