Provider Demographics
NPI:1366780074
Name:CANTATORE, ROBYN R (MSED)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:R
Last Name:CANTATORE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3123
Mailing Address - Country:US
Mailing Address - Phone:914-438-6370
Mailing Address - Fax:
Practice Address - Street 1:143 N WASHINGTON ST APT 2
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-3123
Practice Address - Country:US
Practice Address - Phone:914-438-6370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2268113174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist