Provider Demographics
NPI:1356425383
Name:HOELTING, ANTOINETTE (TONI) (LAC)
Entity type:Individual
Prefix:
First Name:ANTOINETTE (TONI)
Middle Name:
Last Name:HOELTING
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 OSWEGO RD
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-2928
Mailing Address - Country:US
Mailing Address - Phone:315-720-2611
Mailing Address - Fax:
Practice Address - Street 1:7550 OSWEGO RD
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-2928
Practice Address - Country:US
Practice Address - Phone:315-720-2611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002970-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist