Provider Demographics
NPI:1629453071
Name:ALAN B. KADET M.D., P.C.
Entity Type:Organization
Organization Name:ALAN B. KADET M.D., P.C.
Other - Org Name:ALAN B. KADET, M.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:KADET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-721-5600
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA61225Medicare UPIN