Individual
DR. MEGAN KASNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
492 MONTAUK HWY, EAST MORICHES, NY 11940-1347
(631) 638-2900
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
248034
NY
Other
Enumeration date
06/20/2007
Last updated
04/23/2015
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