Provider Demographics
NPI:1821435934
Name:KAZAN, NABIL (DC)
Entity Type:Individual
Prefix:DR
First Name:NABIL
Middle Name:
Last Name:KAZAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2200
Mailing Address - Country:US
Mailing Address - Phone:973-523-4555
Mailing Address - Fax:973-523-4520
Practice Address - Street 1:1029 MAIN ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2200
Practice Address - Country:US
Practice Address - Phone:973-523-4555
Practice Address - Fax:973-523-4520
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00390700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor