Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY CANTISANO
ActiveKELLY CANTISANO is a Psychiatric/Mental Health, Geropsychiatric CNS healthcare provider located in EWING, New Jersey. NPI 1265833859 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Geropsychiatric CNS · EWING, NJ
Registration Details
- NPI Number
- 1265833859
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2014 (11.95383599206 yrs)
- Last Updated
- Sep 15, 2014
- License
-
26NJ00005800 (NJ)
Practice Information
- Address
-
830 BEAR TAVERN RDMEDOP BEHAVIORAL HEALTH ASSOCIATES OF NJ PCEWING, NJ, 086281020Browse NJ providers · Browse ZIP 08628
- Phone
- 9738002655
- Primary Specialty
-
Psychiatric/Mental Health, Geropsychiatric CNS
364SP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.