Provider Demographics
NPI:1003885039
Name:CARTANO, OLIVER R (MD)
Entity Type:Individual
Prefix:DR
First Name:OLIVER
Middle Name:R
Last Name:CARTANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OLIVER
Other - Middle Name:R
Other - Last Name:CARTANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:984 N. BROADWAY SUITE 506
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701
Mailing Address - Country:US
Mailing Address - Phone:914-963-7668
Mailing Address - Fax:914-963-7669
Practice Address - Street 1:984 N. BROADWAY SUITE 506
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-963-7668
Practice Address - Fax:914-963-7669
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216279208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02168541Medicaid
NY02168541Medicaid
NYI36174Medicare UPIN