Healthcare Provider Details

I. General information

NPI: 1306148341
Provider Name (Legal Business Name): KASEMAN FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2010
Last Update Date: 11/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 E TREMONT AVE
BRONX NY
10465-2026
US

IV. Provider business mailing address

3505 E TREMONT AVE
BRONX NY
10465-2026
US

V. Phone/Fax

Practice location:
  • Phone: 718-597-6400
  • Fax: 718-597-6285
Mailing address:
  • Phone: 718-597-6400
  • Fax: 718-597-6285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberX010682
License Number StateNY

VIII. Authorized Official

Name: DR. DAVID WILLIAM KASEMAN
Title or Position: PRESIDENT
Credential: DC
Phone: 718-597-6400