Organization
MARIA KASDAN NURSE PRACTITIONER OF PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ANNE KASDAN NP (OWNER/PRACTITIONER)
(631) 838-4300
Entity
Organization
Contact information
Practice address
168 N OCEAN AVE, PATCHOGUE, NY 11772-2004
(631) 512-9260
(631) 588-8901
Mailing address
47 GLENMERE LN, CORAM, NY 11727-1428
(631) 838-4300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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