Individual
DR. MATTHEW DAVID CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE, SUITE 2700, HAWTHORNE, NY 10532-2140
(914) 493-2250
(914) 493-2060
Mailing address
19 BRADHURST AVE, SUITE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
271616
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03653032
—
NY
01
—
271616
NYS LICENSE
NY
Enumeration date
08/05/2009
Last updated
01/08/2016
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