Provider Demographics
NPI:1619373735
Name:CANTAVE, JOCELYNE (RMA, NCPT)
Entity Type:Individual
Prefix:
First Name:JOCELYNE
Middle Name:
Last Name:CANTAVE
Suffix:
Gender:F
Credentials:RMA, NCPT
Other - Prefix:
Other - First Name:JOCELYNE
Other - Middle Name:
Other - Last Name:GARCON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RMA,NCPT
Mailing Address - Street 1:44 DEMAREST AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993-1317
Mailing Address - Country:US
Mailing Address - Phone:845-288-3502
Mailing Address - Fax:
Practice Address - Street 1:44 DEMAREST AVE
Practice Address - Street 2:
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993-1317
Practice Address - Country:US
Practice Address - Phone:845-288-3502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health