Individual
PHILIP W KANTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, SUITE C-1289, NEW YORK, NY 10065-6007
(212) 639-5393
Mailing address
1275 YORK AVE, SUITE C-1289, NEW YORK, NY 10065-6007
(212) 639-5393
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
147233-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065253
AETNA US HEALTHCARE
—
01
—
3042561
MASSHEALTH MA MEDICAID
—
01
—
44290
FALLON COMMUNITY HEALTH P
—
01
—
6000195
CIGNA
—
01
—
731514
TUFTS
—
01
—
830003272
RR MEDICARE DFCI
—
01
—
D67904DF
HPHC DFCI ONLY
—
01
—
J08074
BCBS INDEMITY BC ELECT HM
MA
Enumeration date
03/09/2006
Last updated
11/27/2015
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