Individual
DR. FREDRICK KIESECKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC, CCN
Contact information
Practice address
2520 HYACINTH CT, WESTBURY, NY 11590-5627
(516) 334-8425
Mailing address
2520 HYACINTH CT, WESTBURY, NY 11590-5627
(516) 334-8425
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
006720
NY
Other
Enumeration date
04/05/2006
Last updated
07/09/2007
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