Provider Demographics
NPI:1669458964
Name:KASABIAN, ARMEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMEN
Middle Name:
Last Name:KASABIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 MARCUS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2057
Mailing Address - Country:US
Mailing Address - Phone:516-497-7900
Mailing Address - Fax:516-497-7920
Practice Address - Street 1:1991 MARCUS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2057
Practice Address - Country:US
Practice Address - Phone:516-497-7900
Practice Address - Fax:516-497-7904
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1506062086S0105X
NY155319208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01178629Medicaid
NY41F171Medicare PIN
NYE44780Medicare UPIN
NY01178629Medicaid