Individual
MISS SHARONA DEBORAH KASHIMALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(516) 578-9951
Mailing address
29 OXFORD BLVD, GREAT NECK, NY 11023-2238
(516) 578-9951
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014460
NY
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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