Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 018556-1 | NY |
NPI | 1053544676 |
---|---|
Provider Name | Richard Kassler |
First Address | New York, NY 10025-8211 |
Second Address | New York, NY 10025-8211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2009 |
Last Update Date | 30/08/2009 |