Dr. Theodore Antonetz
D.P.M. | Podiatrist | 39+ years Exp
Medicare Enrolled
185 West End Avenue, Suite 1n, Nyc
New York, 10023
212-877-3062 212-873-9521
Maps & DirectionsDr. Theodore Antonetz is a Nyc, New York based podiatrist with 39 years of experience in Podiatry. He completed his graduation from New York College Of Podiatric Medicine in 1986. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Theodore Antonetz for Podiatry is N004056 in New York.
Dr. Theodore Antonetz is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Theodore Antonetz speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | D.P.M. |
| Experience: | 39+ years |
| Medical School Attended: | New York College Of Podiatric Medicine |
| Graduation Year: | 1986 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 185 West End Avenue, Suite 1n, Nyc, New York, 10023 |
| Phone: | 212-877-3062 |
| Fax: | 212-873-9521 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2769504182 |
| Enrollment ID: | I20110120000879 |
| NPI Number: | 1083714554 |
| NPI Enumeration Date: | 25 Sep, 2006 |
| NPI Last Update On: | 06 Aug, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Theodore Antonetz are as mentioned below.
| License Number | Specialization | State | Status | |
| N004056 | Podiatry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Theodore Antonetz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| P43851 | Other | New York | BLUE CROSS/BLUE SHIELD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 185 West End Avenue, Suite 1n Nyc, New York |
| Zip: | 10023 |
| Phone Number: | 212-877-3062 |
| Fax Number: | -- |
Patients can reach Dr. Theodore Antonetz at
185 West End Avenue, Suite 1n, Nyc, New York or can
call to book an appointment on 212-877-3062.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.