Kessler, Bradley Howard
Kessler, Bradley Howard is an individual health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Kessler, Bradley Howard can be contacted via phone (631) 376-3000.Contact Information
Primary practice address
1000 Montauk Hwy
West Islip NY 11795-4927
Phone: (631) 376-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 158180 | New York |
Profile Details
| NPI number | 1700887551 |
|---|---|
| LBN Legal business name | Kessler, Bradley Howard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Mar 7th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700887551 | NPPES |
| New York | MEDICAID | 01592603 |
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