Individual
JOSEPH R KIEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
388 WESTCHESTER AVE, SUITE 1A-1B, PORT CHESTER, NY 10573-3650
(914) 939-6400
(914) 939-6412
Mailing address
388 WESTCHESTER AVE, SUITE 1A-1B, PORT CHESTER, NY 10573-3650
(914) 939-6400
(914) 939-6412
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
014205-1
NY
251300000X
Local Education Agency (LEA)
Primary
014205-1
NY
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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