Provider Demographics
NPI:1780832410
Name:CANTNER, CHRISTINE ELIZABETH (MS)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:CANTNER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10202 QUEENS BLVD
Mailing Address - Street 2:APT. 4A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3197
Mailing Address - Country:US
Mailing Address - Phone:516-404-4123
Mailing Address - Fax:
Practice Address - Street 1:10202 QUEENS BLVD
Practice Address - Street 2:APT. 4A
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3197
Practice Address - Country:US
Practice Address - Phone:516-404-4123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program