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Mariana Itzel Cantu

Physician Assistant in Cortlandt Manor, NY. Individual provider (NPI-1).

NPI number1336022078
StatusActive
Last updated in NPPESNov 14, 2025

Details

NPI
1336022078
Entity type
Individual (NPI-1)
Name
Mariana Itzel Cantu
Sole proprietor
No
Enumeration date
Jul 29, 2025
Certification date
Nov 14, 2025
Last updated
Nov 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant034563NYYes

Practice location

1980 Crompond Rd
Cortlandt Manor, NY 10567-4144

Phone 914-737-9000

Mailing address

1400 Quartz St
Penitas, TX 78576-8145

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