Individual
CANDACE KASTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
1330 1ST AVE APT 923, NEW YORK, NY 10021-4789
(330) 719-5450
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017759
NY
Other
Enumeration date
07/21/2014
Last updated
07/30/2019
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