Organization
THEODORE KASTNER MD, PC
Active
Other names
Developmental Disabilites Health Alliance NY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE A KASTNER MD (PRESIDENT)
(718) 430-0038
Entity
Organization
Contact information
Practice address
1410 PELHAM PKWY S, CHILDRENS EVALUATION AND REHABILITATION CENTER, BRONX, NY 10461-1116
(718) 430-0038
(973) 338-4440
Mailing address
1285 BROAD ST, BLOOMFIELD, NJ 07003-3045
(718) 430-0038
(973) 338-4440
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
154132-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03731202
—
NY
Enumeration date
04/18/2013
Last updated
06/10/2014
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