Provider Demographics
NPI:1730204868
Name:AMY KESSELMAN
Entity type:Organization
Organization Name:AMY KESSELMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACULTY AFFAIRS COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-430-3204
Mailing Address - Street 1:3 HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7531
Mailing Address - Country:US
Mailing Address - Phone:845-304-5549
Mailing Address - Fax:
Practice Address - Street 1:1825 EASTCHESTER RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2301
Practice Address - Country:US
Practice Address - Phone:718-904-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212711282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital