Organization
MARIA KASDAN NURSE PRACTITIONER OF PEDIATRICS PLLC
Active
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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