Healthcare Provider Details

I. General information

NPI: 1982023594
Provider Name (Legal Business Name): DORI KAISER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2014
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date: 06/16/2018
Reactivation Date: 11/01/2024

III. Provider practice location address

52 RANDY LN
PLAINVIEW NY
11803-3946
US

IV. Provider business mailing address

52 RANDY LN
PLAINVIEW NY
11803-3946
US

V. Phone/Fax

Practice location:
  • Phone: 516-672-2707
  • Fax:
Mailing address:
  • Phone: 516-672-2707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: