Provider Demographics
NPI:1881769206
Name:KESSLER, DANIAL (PHD)
Entity type:Individual
Prefix:DR
First Name:DANIAL
Middle Name:
Last Name:KESSLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 HARRIET DR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5106
Mailing Address - Country:US
Mailing Address - Phone:516-496-3271
Mailing Address - Fax:516-496-3271
Practice Address - Street 1:27 HARRIET DR
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-5106
Practice Address - Country:US
Practice Address - Phone:516-496-3271
Practice Address - Fax:516-496-3271
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6334103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV13881Medicare ID - Type Unspecified
NYV13882Medicare ID - Type Unspecified