Individual
BENJAMIN KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
33 MEADOW FARM RD, EAST ISLIP, NY 11730-2911
(631) 678-8635
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
151346
NY
Other
Enumeration date
06/03/2024
Last updated
11/28/2024
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