Doctor Name: | KERIN B HAUSKNECHT |
NPI Number: | 1295750099 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 202181 |
Business Practice Address: | 23 Langdon Pl Lynbrook, NY - 115632414 |
Business Phone Number: | 5163744451 |
Business Fax Number: | 5166741987 |
Mailing Address: | Po Box 209, HEWLETT |
State: | NY |
Postal Code: | 115570209 |
Phone Number: | 5163744451 |
Fax Number: | 5163741987 |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 05/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 202181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |