Cantu, Roberto

Cantu, Roberto is an sole proprietor health care provider with primary practice located at 146-01 45 Avenue Room 211, Flushing NY 11355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cantu, Roberto can be contacted via phone (718) 670-5775.

Contact Information

Primary practice address
146-01 45 Avenue Room 211 Flushing NY 11355
Fax: (718) 321-6141
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 169342 New York

Profile Details

NPI number 1144286782
LBN Legal business name Cantu, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2006
Last updated Jun 22nd, 2010 - about 14 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144286782 NPPES
New York MEDICAID 01046551

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