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Individual

DR. DENNIS L. KISIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
142 JORALEMON ST, SUITE 6A, BROOKLYN, NY 11201-4709
(718) 858-6734
(718) 875-8162
Mailing address
142 JORALEMON ST, SUITE 6A, BROOKLYN, NY 11201-4709
(718) 858-6734
(718) 875-8162

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000655-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000655-1
LICENSE NUMBER
NY
Enumeration date
12/26/2006
Last updated
07/08/2007
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