Doctor Name: | JOSEPH R KIEFER |
NPI Number: | 1245507896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 014205-1 |
Business Practice Address: | 388 Westchester Ave Suite 1a-1b Port Chester, NY - 105733650 |
Business Phone Number: | 9149396400 |
Business Fax Number: | 9149396412 |
Mailing Address: | 388 Westchester Ave, Suite 1a-1b PORT CHESTER |
State: | NY |
Postal Code: | 105733650 |
Phone Number: | 9149396400 |
Fax Number: | 9149396412 |
NPI Enumeration Date: | 11/28/2011 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 014205-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |