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Individual

DR. ANDRIN KASEMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2315 VICTORY BLVD., VICTORY INTERNAL MEDICINE, STATEN ISLAND, NY 10314
(718) 477-6900
(718) 477-7862
Mailing address
2315 VICTORY BLVD., VICTORY INTERNAL MEDICINE, STATEN ISLAND, NY 10314
(718) 477-6900
(718) 477-7862

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
271330
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03823567
NY
01
A400095002
MEDICARE
NY
Enumeration date
06/20/2010
Last updated
11/12/2015
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