Individual
CASEY DADASHEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7942
(718) 492-5509
Mailing address
5800 3RD AVE, BROOKLYN, NY 11220-3702
(718) 630-6180
(718) 630-7437
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306821
NY
Other
Enumeration date
10/23/2014
Last updated
08/06/2021
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