Basic Information
| Provider Information | |||||||||
| NPI: | 1083639579 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KANTER | ||||||||
| FirstName: | MIRIAM | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10509 JAMAICA AVE | ||||||||
| Address2: | |||||||||
| City: | RICHMOND HILL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 114182014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184413211 | ||||||||
| FaxNumber: | 7184413211 | ||||||||
| Practice Location | |||||||||
| Address1: | 10509 JAMAICA AVE | ||||||||
| Address2: | |||||||||
| City: | RICHMOND HILL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 114182014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184413211 | ||||||||
| FaxNumber: | 7184413744 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2006 | ||||||||
| LastUpdateDate: | 03/31/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081P2900X | 1960261 | NY | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine |
No ID Information.