Individual
ALEXIS KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
45 HARBOR DR, STAMFORD, CT 06902-7405
(845) 729-0462
Mailing address
22 GEORGETOWN OVAL, NEW CITY, NY 10956-6804
(845) 729-0462
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2181
CT
111N00000X
Chiropractor
Primary
X013590-01
NY
171100000X
Acupuncturist
007600-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2181
CONNECTICUT CHIROPRACTOR LICENSE NUMBER
CT
Enumeration date
01/27/2020
Last updated
10/02/2024
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