Healthcare Provider Details

I. General information

NPI: 1033055769
Provider Name (Legal Business Name): ANTONIEL CENAT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 N BAYVIEW AVE
FREEPORT NY
11520-1938
US

IV. Provider business mailing address

114 N BAYVIEW AVE
FREEPORT NY
11520-1938
US

V. Phone/Fax

Practice location:
  • Phone: 646-382-0139
  • Fax:
Mailing address:
  • Phone: 646-382-0139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number126469
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: