Individual
DR. LORI JAYNE KISLEVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
61 N MAPLE AVE, RIDGEWOOD, NJ 07450
(201) 444-7472
(845) 268-9406
Mailing address
61 NORTH MAPLE AVE, RIDGEWOOD, NJ 07450
(201) 444-7472
(845) 268-9406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00332000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5539637
AETNA
—
01
—
P2654501
OXFORD
—
Enumeration date
02/05/2007
Last updated
07/08/2007
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