Provider Demographics
NPI:1467632984
Name:KANT, NATALIA J (LPN)
Entity Type:Individual
Prefix:MRS
First Name:NATALIA
Middle Name:J
Last Name:KANT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BARNETT RD E
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-3904
Mailing Address - Country:US
Mailing Address - Phone:845-782-9109
Mailing Address - Fax:
Practice Address - Street 1:22 BARNETT RD E
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-3904
Practice Address - Country:US
Practice Address - Phone:845-782-9109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272542-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse