Individual
CASSANDRA MARIE KUCH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1122 BROADWAY, WOODMERE, NY 11598-1242
(516) 295-3838
Mailing address
1122 BROADWAY, WOODMERE, NY 11598-1242
(516) 295-3838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013595-1
NY
Other
Enumeration date
01/31/2012
Last updated
05/04/2022
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