Kiselak, John Anthony

Kiselak, John Anthony is an individual health care provider with primary practice located at 672 Stoneleigh Ave , Carmel NY 10512-4634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kiselak, John Anthony can be contacted via phone (845) 279-2000.

Contact Information

Primary practice address
672 Stoneleigh Ave Carmel NY 10512-4634
Fax: (845) 278-8986
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 181986 New York

Profile Details

NPI number 1912096595
LBN Legal business name Kiselak, John Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 17th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912096595 NPPES
New York MEDICAID 01215049

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