Individual
DR. MICHAEL JOSEPH CANTARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MA, PCS
Contact information
Practice address
143 BROMLEIGH RD, STEWART MANOR, NY 11530-5013
(516) 352-3030
Mailing address
143 BROMLEIGH RD, STEWART MANOR, NY 11530-5013
(516) 352-3030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
016562-1
NY
2251P0200X
Pediatric Physical Therapist
Primary
016562-1
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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