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Organization
SUSAN KANTOR PHYSICAL THERAPY, PC
Active
Organization
SUSAN KANTOR PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN M KANTOR PT (PRESIDENT/OWNER)
(315) 894-3050
Entity
Organization
Contact information
Practice address
4266 ACME RD, FRANKFORT, NY 13340-3504
(315) 894-3050
(315) 894-0915
Mailing address
4266 ACME RD, FRANKFORT, NY 13340-3504
(315) 894-3050
(315) 894-0915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006588-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01185359
—
NY
01
—
1649065
EXCELLUS BC/BS
—
01
—
915536
MVP
—
Enumeration date
07/19/2005
Last updated
08/22/2020
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