Roger Kasendorf, Do, Pc

NPI 1124389473 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1124389473
Enumeration Date 06/04/2012
Last Updated 06/04/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROGER ROGER
Position OWNER
Phone (718) 819-2920
Fax (718) 307-6434
Practice Location
305 LAURELTON BLVD
LONG BEACH NY, 11561-3207, US
Phone (718) 819-2920
Fax (718) 307-6434
Business Location
305 LAURELTON BLVD
LONG BEACH NY, 11561-3207, US
Phone (718) 819-2920
Fax (718) 307-6434
Toxanomy
Taxonomy Code 208100000X
License State New York
License Number 239449
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According to our database, Roger Kasendorf, Do, Pc NPI is 1124389473, taxonomy code is 208100000X and license number is 239449, license state is located at New York. Roger Kasendorf, Do, Pc physically located at 305 Laurelton Blvd, Long Beach NY, 11561-3207. NPI Number 1033115704 has the healthcare provider type.

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1124389473 NPI number is provided on an as is basis without warranty of any kind. 1124389473 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Kasendorf, Do, Pc are for informational purposes only.