Individual
JAIME KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 TODT HILL RD, STATEN ISLAND, NY 10304-1312
(718) 303-7859
Mailing address
21 FRASER ST, STATEN ISLAND, NY 10314-6111
(917) 750-3155
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003116
NY
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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