Adam Cantor, L.AC
Individual provider Active NPI Acupuncturist · Glen Head, NY
NPI 1295082576 · NPPES record last updated Aug 6, 2012
Key facts
- NPI
- 1295082576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 004840-1 (NY)
- Practice address
- 1009 Glen Cove Ave
Suite #6
Glen Head, NY 11545-1592 - Phone
- (201) 745-1506
- NPI assigned
- Aug 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004840-1 | NY | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 004840-1 | NY | Yes |
Addresses
Primary practice location
1009 Glen Cove Ave
Suite #6
Glen Head, NY 11545-1592
Mailing address
1009 Glen Cove Ave
Suite #6
Glen Head, NY 11545-1592
Phone (201) 745-1506
Other providers in Glen Head, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.