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NPI Code Detail

MEDICARE: CARA CANTOR LMSW

MEDICARE:   CARA  CANTOR  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor082911NY

General Provider Information

NPI Number : 1043982986
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA CANTOR LMSW
Provider Business Mailing Address
First Line : 201 DIXON AVE
Second Line :
City : AMITYVILLE
State : NY
Zip : 11701-2994
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 DIXON AVE
Second Line :
City : AMITYVILLE
State : NY
Zip : 11701-2994
Country : US
Telephone Number : 516-462-1463
Fax Number : 631-691-5100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 09/29/2021

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Directions to “ CARA CANTOR LMSW” Practice Location

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