Provider Demographics
NPI:1942278825
Name:KASTEN, GARY S (DO)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:S
Last Name:KASTEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1223 B MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769
Mailing Address - Country:US
Mailing Address - Phone:631-244-2442
Mailing Address - Fax:631-244-2445
Practice Address - Street 1:1223B MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1434
Practice Address - Country:US
Practice Address - Phone:631-244-2442
Practice Address - Fax:631-244-2445
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY190326207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY09444486882OtherMAGNACARE
NYAETNA HMOOther2468939
NYCIGNAOther4992348003
NY1000016193OtherAFFINITY INSURANCE
NY0298851OtherGHI INSURANCE
NYP479827OtherOXFORD HEALTHPLAN
NY1903261OtherHIP INSURANCE
NY3C2313OtherHEALTHNET INSURANCE
NY73775OtherVYTRA INS PLAN
NY1903261OtherHIP INSURANCE
NY09444486882OtherMAGNACARE