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Individual

ENRIQUE J CABASSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 787-5000
Mailing address
123 WEIR ST, HEMPSTEAD, NY 11550-7628
(917) 681-9903

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NY

Other

Enumeration date
02/08/2022
Last updated
02/08/2022
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