Organization
ARDEN M KAISMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIKKI SILVA (CREDENTIALING SPECIALIST)
(631) 736-4064
Entity
Organization
Contact information
Practice address
3 BOYLE ROAD, SELDEN, NY 11784
(631) 736-4064
(631) 736-1332
Mailing address
3 BOYLE ROAD, SELDEN, NY 11784
(631) 736-4064
(631) 736-1332
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
164652-1
NY
Other
Enumeration date
07/06/2006
Last updated
09/10/2013
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