Individual
DR. ANDREA KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1590 WASHINGTON AVE, SEAFORD, NY 11783-1955
(516) 592-4054
Mailing address
1590 WASHINGTON AVE, SEAFORD, NY 11783-1955
(516) 592-4054
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
011993-1
NY
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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