Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 254314 | NY |
Y | 111NI0900X | Internist | 254314 | NY |
NPI | 1003047218 |
---|---|
Provider Name | Diana Kantor |
First Address | Brooklyn, NY 11234-2644 |
Second Address | New York, NY 10019-6336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2009 |
Last Update Date | 29/12/2020 |