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General NPI Number Information
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NPI Number | 1265433098
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Entity Type | Individual
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Provider Name | STUART L KANTERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 700 OLD COUNTRY RD SUITE 103
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City | PLAINVIEW
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State | NY
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Zip | 11803-4932
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Country | US
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Telephone | 516-681-8899
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Fax | 516-935-1827
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Provider Business Mailing Address
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Address Line | 18 HERKIMER AVE
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City | JERICHO
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State | NY
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Zip | 11753-1525
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Country | US
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Telephone | 516-931-2959
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Fax | 516-935-2919
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 211907
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License Number State | NY
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