Individual
DR. KEVIN CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 NORTHERN BLVD, SUITE 300, GREAT NECK, NY 11021-5206
(516) 627-8717
Mailing address
1100 AVALON SQ, APT 1440, GLEN COVE, NY 11542-2877
(516) 723-9414
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
268962
NY
Other
Enumeration date
06/03/2008
Last updated
07/29/2015
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