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NPI Code Detail

MEDICARE: DR. RICHARD LEE KESSNER PH.D.

MEDICARE:  DR. RICHARD LEE KESSNER  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist011883-1NY

General Provider Information

NPI Number : 1194762963
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD LEE KESSNER PH.D.
Provider Business Mailing Address
First Line : 3755 HENRY HUDSON PKWY
Second Line : SUITE 14F
City : BRONX
State : NY
Zip : 10463-1535
Country : US
Telephone Number : 718-404-2318
Fax Number :
Provider Business Practice Location Address
First Line : 3755 HENRY HUDSON PKWY
Second Line : SUITE 14F
City : BRONX
State : NY
Zip : 10463-1535
Country : US
Telephone Number : 718-404-2318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD LEE KESSNER PH.D.” Practice Location

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