Individual
EVA KASTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 BROADWAY, SUITE 608, NEW YORK, NY 10012-3223
(888) 571-8629
Mailing address
580 BROADWAY, SUITE 608, NEW YORK, NY 10012-3223
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
625788-1
NY
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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