Individual
DR. CHARLES KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1595 ELMWOOD AVE, ROCHESTER, NY 14620-3635
(585) 442-7430
Mailing address
104 RHINECLIFF DR, ROCHESTER, NY 14618-1506
(585) 442-7430
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005662-1
NY
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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