MEDICARE: LILIAH CANTOR 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	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	234009	NY

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

General Provider Information

NPI Number	:	1760484554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIAH CANTOR MD

Provider Business Mailing Address
First Line	:	75 KENNARD RD
Second Line	:
City	:	MAHOPAC
State	:	NY
Zip	:	10541-4121
Country	:	US
Telephone Number	:	914-329-0478
Fax Number	:

Provider Business Practice Location Address
First Line	:	297 KNOLLWOOD RD STE 333
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10607-1838
Country	:	US
Telephone Number	:	914-329-0478
Fax Number	:

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	01/26/2022

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Directions to “ LILIAH CANTOR MD” Practice Location

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