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General NPI Number Information
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NPI Number | 1710104567
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Entity Type | Organization
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Legal Business Name | DONNA R. KESSELMAN MD, PC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 885 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-0325
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Country | US
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Telephone | 212-988-1700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10136
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City | UNIONDALE
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State | NY
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Zip | 11555-0136
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Country | US
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Telephone | 212-988-1700
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. DONNA R KESSELMAN
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Credential | MD
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Telephone | 212-988-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 211493
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License Number State | NY
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