Individual
JOEL KESTENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000
Mailing address
182 BEACH 135TH ST, BELLE HARBOR, NY 11694-1304
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
116747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01659576
—
NY
Enumeration date
11/21/2006
Last updated
06/18/2008
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