Organization
KANTER PHYSICAL MEDICINE & REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM E KANTER MD (PRES)
(718) 441-3211
Entity
Organization
Contact information
Practice address
10509 JAMAICA AVE, RICHMOND HILL, NY 11418-2014
(718) 441-3211
(718) 441-3744
Mailing address
10509 JAMAICA AVE, RICHMOND HILL, NY 11418-2014
(718) 441-3211
(718) 441-3744
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196026-1
STATE LICENSE
NY
Enumeration date
04/20/2012
Last updated
04/20/2012
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