Provider Demographics
NPI:1497021448
Name:KANTROWITZ, CARA MELANIE (MSOTR/L)
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:MELANIE
Last Name:KANTROWITZ
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 OCEAN PKWY
Mailing Address - Street 2:2E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2457
Mailing Address - Country:US
Mailing Address - Phone:845-729-7247
Mailing Address - Fax:
Practice Address - Street 1:110 OCEAN PKWY
Practice Address - Street 2:2E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2457
Practice Address - Country:US
Practice Address - Phone:845-729-7247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016239225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist