Organization
CONEY ISLAND HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KANTAR MS, RD (REGISTERED DIETITIAN)
(718) 761-2060
Entity
Organization
Contact information
Practice address
2040 FOREST AVENUE, STATEN ISLAND, NY 10303
(718) 761-2060
Mailing address
2040 FOREST AVE, STATEN ISLAND, NY 10303-1737
(718) 761-2060
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1015604
NY
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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