Provider Demographics
NPI:1790711653
Name:KADET, LAURIE (PT, MA)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:
Last Name:KADET
Suffix:
Gender:F
Credentials:PT, MA
Other - Prefix:
Other - First Name:THERAPEUTIC
Other - Middle Name:
Other - Last Name:INTERVENTIONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3202 BAINBRIDGE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3947
Mailing Address - Country:US
Mailing Address - Phone:718-881-9525
Mailing Address - Fax:718-405-2267
Practice Address - Street 1:3202 BAINBRIDGE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-3947
Practice Address - Country:US
Practice Address - Phone:718-881-9525
Practice Address - Fax:718-405-2267
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5103-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8669594OtherCIGNA
NY0125092OtherAETNA HMO
NYGS144OtherOXFORD
NY00850459Medicaid
NY20067POtherHIP
NY20225601OtherORTHONET/AETNA
NY211501OtherUNITED HEALTHCARE
NY1000002641OtherAFFINITY (BX HEALTH PLAN)
NY4567922OtherAETNA PPO
NY20225601OtherORTHONET/AETNA