Mr Evan Ross Kantor, | |
21 Beaumont Ln, Lake Grove, NY 11755-2736 | |
(631) 707-5462 | |
Not Available |
Full Name | Mr Evan Ross Kantor |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 21 Beaumont Ln, Lake Grove, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144738691 | NPI | - | NPPES |
1293728403 | Other | NY | UNITEDHEALTHCARE-OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 877004039 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Evan Ross Kantor, 21 Beaumont Ln, Lake Grove, NY 11755-2736 Ph: (631) 707-5462 | Mr Evan Ross Kantor, 21 Beaumont Ln, Lake Grove, NY 11755-2736 Ph: (631) 707-5462 |
Toni Ann E Mule, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 Nesconset Hwy, Lake Grove, NY 11755 Phone: 631-560-0994 | |
Mr. Mitchell Slochower, L.C.S.W. Counselor Medicare: Medicare Enrolled Practice Location: 14 Woodstock Pl, Lake Grove, NY 11755 Phone: 631-467-5591 Fax: 631-467-5591 | |
Nancy Allegretti, LMHC, MA, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Oak Street, Lake Grove, NY 11755 Phone: 631-648-8204 | |
Andrew Herbst, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 Nesconset Hwy, Lake Grove, NY 11755 Phone: 631-521-9603 | |
Claire Olsen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Colmar Ave, Lake Grove, NY 11755 Phone: 631-467-8788 Fax: 631-467-8843 | |
Crystal Rivera-cronin, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 Nesconset Hwy, Lake Grove, NY 11755 Phone: 631-942-6700 |