Individual
CARMEN A PANTOJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7649 HEWLETT ST, NEW HYDE PARK, NY 11040-1429
(212) 388-1903
Mailing address
2261 42ND ST APT B6, ASTORIA, NY 11105-1400
(347) 276-0320
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
002810-1
NY
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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