Individual
ANDREW ROSS KASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5550 MERRICK RD STE 200, MASSAPEQUA, NY 11758-6238
(631) 673-3233
(631) 673-1314
Mailing address
21 LOUIS DR, MELVILLE, NY 11747-1901
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100522
NY
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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