Provider Demographics
NPI:1013084714
Name:CANTOR, GALE (RN,MS,CFNP)
Entity Type:Individual
Prefix:MS
First Name:GALE
Middle Name:
Last Name:CANTOR
Suffix:
Gender:F
Credentials:RN,MS,CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 LIVINGSTON ST
Mailing Address - Street 2:APARTMENT 3A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4834
Mailing Address - Country:US
Mailing Address - Phone:718-855-8185
Mailing Address - Fax:718-855-4242
Practice Address - Street 1:59 LIVINGSTON ST
Practice Address - Street 2:APARTMENT 3A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4834
Practice Address - Country:US
Practice Address - Phone:718-855-8185
Practice Address - Fax:718-855-4242
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330035-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily