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

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