Individual
MS. ALYSSA CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 AVALON COURT DR, MELVILLE, NY 11747-4282
(516) 978-8384
(631) 414-7156
Mailing address
828 AVALON COURT DR, MELVILLE, NY 11747-4282
(516) 978-8384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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