Provider Demographics
NPI:1508824962
Name:KAISER, ROBERT NEAL (DC MS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:NEAL
Last Name:KAISER
Suffix:
Gender:M
Credentials:DC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 7TH AVE
Mailing Address - Street 2:SUITE 1007A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10123
Mailing Address - Country:US
Mailing Address - Phone:212-279-2002
Mailing Address - Fax:212-279-2004
Practice Address - Street 1:450 7TH AVE
Practice Address - Street 2:SUITE 1007A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10123
Practice Address - Country:US
Practice Address - Phone:212-279-2002
Practice Address - Fax:212-279-2004
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
X0F541Medicare ID - Type Unspecified
U82522Medicare UPIN