Provider Demographics
NPI:1619156940
Name:KASDAN, MARIA ANNE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ANNE
Last Name:KASDAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 EXPRESS ST STE 400
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2406
Mailing Address - Country:US
Mailing Address - Phone:516-777-8800
Mailing Address - Fax:516-777-8806
Practice Address - Street 1:185 EXPRESS ST STE 400
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2406
Practice Address - Country:US
Practice Address - Phone:516-777-8800
Practice Address - Fax:516-777-8806
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382023363LP0200X
NY537304163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics