Healthcare Provider Details

I. General information

NPI: 1841929080
Provider Name (Legal Business Name): KAYLA KALSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2022
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 7TH AVE APT 4R
BROOKLYN NY
11215-4350
US

IV. Provider business mailing address

378 7TH AVE APT 4R
BROOKLYN NY
11215-4350
US

V. Phone/Fax

Practice location:
  • Phone: 347-581-2357
  • Fax:
Mailing address:
  • Phone: 347-581-2357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: