MEDICARE: DR. HARLEY B KANTOR DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	006570	NY

General Provider Information

NPI Number	:	1427344787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARLEY B KANTOR DPM

Provider Business Mailing Address
First Line	:	260 FOREST AVE
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-2920
Country	:	US
Telephone Number	:	917-282-3370
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E 54TH ST
Second Line	:	GROUND FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10022
Country	:	US
Telephone Number	:	646-618-6350
Fax Number	:	646-861-4755

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

Provider Enumeration Date	:	06/24/2011
Last Update Date	:	06/04/2018

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