Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | X002436-1 | NY |
NPI | 1083791974 |
---|---|
Provider Name | Dr. Louis A Kessel |
First Address | New York, NY 10016-6021 |
Second Address | New York, NY 10016-6021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 18/11/2011 |