Individual
DR. SANJAY KANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2204 VOORHIES AVE, BROOKLYN, NY 11235-2820
(718) 646-2500
(718) 648-4583
Mailing address
2204 VOORHIES AVE, BROOKLYN, NY 11235-2820
(718) 646-2500
(718) 648-4583
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
179541
NY
207YX0602X
Otolaryngic Allergy Physician
179541
NY
207YX0901X
Otology & Neurotology Physician
179541
NY
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
179541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01859636
—
NY
Enumeration date
06/29/2006
Last updated
10/03/2012
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