NPI 1003107392

Sharona Deborah Kashimallak, RPAC

Practitioner Medical Physician Assistant New York, NY

Practice location

Address: 462 1st Ave, New York, NY 10016-9196
Phone: (516) 578-9951
Mailing address: 29 Oxford Blvd, Great Neck, NY 11023-2238

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 014460 (NY)

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Registry record

NPI: 1003107392
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2011
Record last updated: 21 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.