Provider Information for 1801488416
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KYLE CHRISTOPHER KALSKI LCSW
Sex: Male
NPI: 1801488416
Last Updated: 2021-02-04
Certification Date: 2021-02-04
Certification Date: 2021-02-04
Details
| Name | Value | ||||||||
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| NPI | 1801488416 | ||||||||
| Enumeration Date | 2021-02-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 590 6TH AVE NEW YORK, NY 10011-2022 United States Phone: 212-886-4055 | Fax: | ||||||||
| Primary Practice Address | 109 E 115TH ST NEW YORK, NY 10029-1186 United States Phone: 212-886-4055 | Fax: | ||||||||
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