| Doctor Name: | MR. MARK STEVEN KAISER |
| NPI Number: | 1053512756 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 008067-1 |
| Business Practice Address: | Citigroup Health Services 1 Court Square, 9th Floor, Zone 7 Long Island City, NY - 111200001 |
| Business Phone Number: | 7182482780 |
| Business Fax Number: | |
| Mailing Address: | 5218 94th St, ELMHURST |
| State: | NY |
| Postal Code: | 113734647 |
| Phone Number: | 6465417222 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 008067-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |