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Dr. Ivan Antonevich, MD
Interventional Pain Medicine Physician in New Hartford, New York
NPI 1043256118

Ivan Antonevich is a Interventional Pain Medicine Physician based in New Hartford, NY and is specialized in Interventional Pain Medicine. Ivan Antonevich practices in New Hartford, NY and has the professional credentials of MD. The NPI Number for Ivan Antonevich is 1043256118 and holds a License No. 229252 (New York).

The current practice location address for Ivan Antonevich is 1729 Burrstone Rd, New Hartford, NY and can be reached out via phone at 315-798-1567 and via fax at 315-798-1565.

Location: 1729 Burrstone Rd, New Hartford, NY, 13413-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043256118
Provider Name
Ivan Antonevich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1729 Burrstone Rd, New Hartford, NY, 13413-1001
Phone Number
315-798-1567
Fax Number
315-798-1565
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2729598-00 05 FL
institution
Provider Business Practice Location Address Details
Address
1729 Burrstone Rd
City
New Hartford
State
New York
Zip
13413-1001
Phone Number
315-798-1567
Fax Number
315-798-1565
person
Provider Business Mailing Address Details
Address
1729 Burrstone Rd
City
New Hartford
State
New York
Zip
13413-1001
Phone Number
315-798-1567
Fax Number
315-798-1565
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
229252 (New York)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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