Provider Demographics
NPI:1003917980
Name:KADET, ALAN BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:BRUCE
Last Name:KADET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:65 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 1G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6008
Mailing Address - Country:US
Mailing Address - Phone:212-721-5600
Mailing Address - Fax:212-721-4778
Practice Address - Street 1:65 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 1G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6008
Practice Address - Country:US
Practice Address - Phone:212-721-5600
Practice Address - Fax:212-721-4778
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY156938207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY21D591Medicare ID - Type Unspecified
A61225Medicare UPIN