Provider Demographics
NPI:1932513355
Name:DR. HARLEY KANTOR DPM PLLC
Entity Type:Organization
Organization Name:DR. HARLEY KANTOR DPM PLLC
Other - Org Name:CONSULT PODIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HARLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KANTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-282-3370
Mailing Address - Street 1:400 E 54TH ST
Mailing Address - Street 2:GROUND FLOOR-MEDICAL OFFICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5164
Mailing Address - Country:US
Mailing Address - Phone:917-282-3370
Mailing Address - Fax:
Practice Address - Street 1:400 E 54TH ST
Practice Address - Street 2:GROUND FLOOR-MEDICAL OFFICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5164
Practice Address - Country:US
Practice Address - Phone:917-282-3370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006570213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty