Individual
REBECCA KAFFASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 HOLLOW LN STE 315, NEW HYDE PARK, NY 11042-1215
(516) 439-5300
Mailing address
131 E AMES CT, PLAINVIEW, NY 11803-2317
(516) 414-5865
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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