Provider Demographics
NPI:1891956652
Name:ANTOHINA, ALENA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALENA
Middle Name:
Last Name:ANTOHINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4032
Mailing Address - Country:US
Mailing Address - Phone:862-684-8484
Mailing Address - Fax:865-904-8007
Practice Address - Street 1:1501 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-4032
Practice Address - Country:US
Practice Address - Phone:862-684-8484
Practice Address - Fax:865-904-8007
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2542892084P0800X
NJ25MA089086002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry