License holder summary

FANA MIGUEL ANTONIO JR is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FANA MIGUEL ANTONIO JR is FLUSHING NY. This doctor license is not current. The license was granted 02/22/2000.

New York

Office of the Professions

FANA MIGUEL ANTONIO JR
Medicine (Physician, Including M Ds & D Os)
License number
216813
Date granted
02/22/2000
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
FLUSHING NY
nymedicine.org
ID 30136546
LAST UPDATED 2024-04-03 04:28:01 UTC

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