Provider Demographics
NPI:1417902669
Name:KAISMAN, ARDEN MARC (MD)
Entity Type:Individual
Prefix:
First Name:ARDEN
Middle Name:MARC
Last Name:KAISMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 E 25TH ST
Mailing Address - Street 2:6TH FL
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:212-813-3199
Mailing Address - Fax:646-375-7800
Practice Address - Street 1:51 E 25TH ST
Practice Address - Street 2:6TH FL
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-813-3199
Practice Address - Fax:646-375-7800
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164652-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E93952Medicare UPIN
NY53K381Medicare ID - Type Unspecified