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Individual

MS. AVIVA H CANTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
(212) 271-7225
Mailing address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
(212) 271-7225

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA053256
PA
363AM0700X
Medical Physician Assistant
Primary
013277
NY

Other

Enumeration date
12/05/2007
Last updated
02/20/2014
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