Individual
KASIM KAZBAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-3641
Mailing address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 932-1000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
21431
WV
207RG0100X
Gastroenterology Physician
Primary
269455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03784287
—
NY
Enumeration date
08/12/2010
Last updated
11/01/2021
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