Individual
KASEY MUCHNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
31 8TH AVE STE 1, BROOKLYN, NY 11217-3927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062648
NY
Other
Enumeration date
04/01/2021
Last updated
08/16/2024
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