Provider Demographics
NPI:1912012592
Name:ANTOINE, T. CHRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:T. CHRISTINA
Middle Name:
Last Name:ANTOINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:ANTOINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:17 ELAINE DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-2604
Mailing Address - Country:US
Mailing Address - Phone:209-986-3145
Mailing Address - Fax:888-466-8655
Practice Address - Street 1:231 REMSEN ST
Practice Address - Street 2:
Practice Address - City:COHOES
Practice Address - State:NY
Practice Address - Zip Code:12047-3024
Practice Address - Country:US
Practice Address - Phone:518-326-5340
Practice Address - Fax:888-466-8655
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC039350207Q00000X, 2084P0800X
TXN5535207Q00000X, 2084P0800X
SC32466207Q00000X, 2084P0800X
CAA741602084F0202X, 2084P0800X, 207Q00000X
NY2469652084P0800X, 207Q00000X
CT0512272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03092739Medicaid
NY03092739Medicaid
CA001344300Medicare ID - Type Unspecified