Individual
DR. KATHLEEN A NASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
51 LAWRENCE AVE, SMITHTOWN, NY 11787-3603
(631) 382-4505
Mailing address
20 LEARY LN, NESCONSET, NY 11767-1810
(631) 560-9346
(631) 724-1593
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
033524-1
NY
Other
Enumeration date
05/11/2010
Last updated
01/29/2020
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