Individual
DR. MIKHAIL I KANTIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79-18 164 ST, JAMAICA, NY 11432
(718) 969-2884
(718) 969-2576
Mailing address
PO BOX 740048, REGO PARK, NY 11374
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
156892
NY
Other
Enumeration date
01/27/2006
Last updated
12/08/2010
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