Provider Demographics
NPI:1427004670
Name:CANTONE, CAESAR ANTHONY (PT, LAC)
Entity type:Individual
Prefix:
First Name:CAESAR
Middle Name:ANTHONY
Last Name:CANTONE
Suffix:
Gender:M
Credentials:PT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 N HERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-4932
Mailing Address - Country:US
Mailing Address - Phone:516-359-7391
Mailing Address - Fax:
Practice Address - Street 1:505 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5115
Practice Address - Country:US
Practice Address - Phone:516-359-7391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005569171100000X
NY026695225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist