Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Liana Jon Antonucci

Individual provider Specialist · NPI 1033687470

Liana Jon Antonucci is a Specialist in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

21408 40th Ave
Bayside, NY 11361-2117
Phone: (845) 558-8814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1208684181 (NY)

Record details

NPI number1033687470
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2018
Last updated in NPPESNovember 3, 2018
Mailing address21408 40th Ave, Bayside, NY 11361-2117

Other providers in Bayside