Provider Demographics
NPI:1427004670
Name:CANTONE, CEASAR ANTHONY (PT)
Entity Type:Individual
Prefix:
First Name:CEASAR
Middle Name:ANTHONY
Last Name:CANTONE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14703 NORTHERN BLVD APT 4C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4357
Mailing Address - Country:US
Mailing Address - Phone:516-359-7391
Mailing Address - Fax:162-625-2275
Practice Address - Street 1:150 E 94TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-2568
Practice Address - Country:US
Practice Address - Phone:516-359-7391
Practice Address - Fax:516-262-5227
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2024-04-18
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