Individual
ROBERT E. CANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 E BAY DR, LONG BEACH, NY 11561-2301
(516) 897-1100
(516) 897-1106
Mailing address
PO BOX 409041, ATLANTA, GA 30384-9041
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
140738-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00796612
—
NY
01
—
09F671
BLUECROSS BLUESHIELD
NY
Enumeration date
01/14/2006
Last updated
09/13/2007
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