Doctor Name: | DR. KALESHA HACK |
NPI Number: | 1144453507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 60 P71727 |
Business Practice Address: | 1275 York Ave New York, NY - 100656007 |
Business Phone Number: | 2126392000 |
Business Fax Number: | |
Mailing Address: | 430 E 63rd St Apt 9j, NEW YORK |
State: | NY |
Postal Code: | 100657988 |
Phone Number: | 9178283456 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2009 |
NPI Last Update Date: | 09/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 60 P71727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |