MEDICARE: KASEMAN FAMILY CHIROPRACTIC

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
1	261QH0100X	Health Service Clinic/Center	X010682	NY

General Provider Information

NPI Number	:	1306148341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KASEMAN FAMILY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3505 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2026
Country	:	US
Telephone Number	:	718-597-6400
Fax Number	:	718-597-6285

Provider Business Practice Location Address
First Line	:	3505 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2026
Country	:	US
Telephone Number	:	718-597-6400
Fax Number	:	718-597-6285

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID WILLIAM KASEMAN
Credential	:	DC
Telephone Number	:	718-597-6400

Provider Enumeration Date	:	11/24/2010
Last Update Date	:	11/24/2010

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