MEDICARE: MR. JAMES CANTIRINO 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
1	251C00000X	Developmentally Disabled Services Day Training Agency	027726	NY

General Provider Information

NPI Number	:	1487751434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES CANTIRINO LMSW

Provider Business Mailing Address
First Line	:	800 CORTELYOU RD APT 6D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-5285
Country	:	US
Telephone Number	:	718-856-9166
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 E 23RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-4516
Country	:	US
Telephone Number	:	212-677-7400
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	02/22/2026

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