Individual
KASHA DRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SMITH STREET, FREEPORT, NY 11520-4528
(516) 233-8640
Mailing address
17 SMITH STREET, FREEPORT, NY 11520-4528
(516) 233-8640
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
BN12001306
NY
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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