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1235107871

NPI Code Detail

MEDICARE: PHILIP W KANTOFF MD

MEDICARE: PHILIP W KANTOFF MD

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
1	207RX0202X	Medical Oncology Physician	147233-1	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	830003272	OTHER		RR MEDICARE DFCI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2065253	OTHER		AETNA US HEALTHCARE
3	6000195	OTHER		CIGNA
4	D67904DF	OTHER		HPHC DFCI ONLY
5	J08074	OTHER	MA	BCBS INDEMITY BC ELECT HM
6	731514	OTHER		TUFTS
7	44290	OTHER		FALLON COMMUNITY HEALTH P

General Provider Information

NPI Number	:	1235107871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP W KANTOFF MD

Provider Business Mailing Address
First Line	:	1275 YORK AVE
Second Line	:	SUITE C-1289
City	:	NEW YORK
State	:	NY
Zip	:	10065-6007
Country	:	US
Telephone Number	:	212-639-5393
Fax Number	:

Provider Business Practice Location Address
First Line	:	1275 YORK AVE
Second Line	:	SUITE C-1289
City	:	NEW YORK
State	:	NY
Zip	:	10065-6007
Country	:	US
Telephone Number	:	212-639-5393
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	11/27/2015

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Directions to “ PHILIP W KANTOFF MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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