Provider Demographics
NPI:1881846152
Name:CAMPANER-CANTOS, MARIA ELENA (NP)
Entity Type:Individual
Prefix:
First Name:MARIA ELENA
Middle Name:
Last Name:CAMPANER-CANTOS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARIA ELENA
Other - Middle Name:C
Other - Last Name:CANTOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:160 E 53RD ST
Mailing Address - Street 2:MSKCC ROCKEFELLER OUTPATIENT PAVILION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5243
Mailing Address - Country:US
Mailing Address - Phone:212-610-0488
Mailing Address - Fax:212-588-1363
Practice Address - Street 1:160 E 53RD ST
Practice Address - Street 2:MSKCC ROCKEFELLER OUTPATIENT PAVILION
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5243
Practice Address - Country:US
Practice Address - Phone:212-610-0488
Practice Address - Fax:212-588-1363
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-18
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301170-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health