Provider Demographics
NPI:1447453485
Name:KALMUS, ALEKSANDER (DC AS DOCTOR OF CHIR)
Entity type:Individual
Prefix:
First Name:ALEKSANDER
Middle Name:
Last Name:KALMUS
Suffix:
Gender:M
Credentials:DC AS DOCTOR OF CHIR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1079
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-802-9299
Mailing Address - Fax:
Practice Address - Street 1:3800 WALDO AVE
Practice Address - Street 2:#16A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463
Practice Address - Country:US
Practice Address - Phone:212-802-9299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0034231111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX003423 1OtherLICENSE
NYX003423 1OtherLICENSE