Cantales, Mark Blaine

Cantales, Mark Blaine is an sole proprietor health care provider with primary practice located at 217 Jefferson Ave , Endicott NY 13760-5244. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cantales, Mark Blaine can be contacted via phone (607) 372-1020.

Contact Information

Primary practice address
217 Jefferson Ave Endicott NY 13760-5244
Fax: (607) 239-5328
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 069788-1 New York

Profile Details

NPI number 1922162643
LBN Legal business name Cantales, Mark Blaine
Credentials LCSWR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Feb 20th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers