Individual
SASHA AMEILIA KANDASAMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(516) 849-2409
Mailing address
1071 VAN BUREN ST, BALDWIN, NY 11510-4916
(516) 849-2409
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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