Individual
NIKI E. KANTROWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MARYS AVE STE 3, KINGSTON, NY 12401-5896
(845) 339-3663
Mailing address
111 MARYS AVE STE 3, KINGSTON, NY 12401-5896
(845) 339-3663
(845) 331-7178
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
51403
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD193221
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00972972
—
NY
05
—
300015505
—
IN
05
—
7100543970
—
KY
Enumeration date
03/31/2006
Last updated
12/30/2021
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