Doctor Name: | DR. ALAN T. KAELL |
NPI Number: | 1962498907 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 139331 |
Business Practice Address: | 315 Middle Country Rd Smithtown, NY - 117872817 |
Business Phone Number: | 6313607778 |
Business Fax Number: | 6319791609 |
Mailing Address: | 315 Middle Country Rd, SMITHTOWN |
State: | NY |
Postal Code: | 117872817 |
Phone Number: | 6313603796 |
Fax Number: | 6313601546 |
NPI Enumeration Date: | 09/26/2005 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 139331 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |