Individual
JOSEPH E KANSAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CH
Contact information
Practice address
1120 PARK AVE, NEW YORK, NY 10128-1242
(212) 360-6100
(212) 360-7052
Mailing address
1120 PARK AVE, NEW YORK, NY 10128-1242
(212) 360-6100
(212) 360-7052
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X3881
NY
Other
Enumeration date
09/17/2006
Last updated
03/17/2008
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