Individual
MR. CARL F CANNATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 544-5308
Mailing address
41 CABOT RD W, MASSAPEQUA, NY 11758-8026
(516) 799-5255
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000282-1
NY
Other
Enumeration date
03/20/2006
Last updated
07/21/2022
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