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Organization

MICHAEL J KASSOUF, MD.,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J KASSOUF M.D. (PRESIDENT)
(718) 238-0131
Entity
Organization

Contact information

Practice address
346 76TH ST, BROOKLYN, NY 11209-3106
(718) 238-0131
Mailing address
346 76TH ST, BROOKLYN, NY 11209-3106
(718) 238-0131

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00460839
NY
Enumeration date
07/20/2009
Last updated
07/20/2009
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