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Individual

ROBERTO CANTU JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
146-01 45 AVENUE, ROOM 211, FLUSHING, NY 11355
(718) 670-5775
(718) 321-6141
Mailing address
14601 45TH AVE, SUITE 206, FLUSHING, NY 11355-2200
(718) 670-3135
(718) 670-4449

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
169342
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01046551
NY
Enumeration date
04/22/2006
Last updated
06/22/2010
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