Provider Demographics
NPI:1619110772
Name:CASHIN, KERRY ANN (PT)
Entity type:Individual
Prefix:MRS
First Name:KERRY
Middle Name:ANN
Last Name:CASHIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 W 49TH ST
Mailing Address - Street 2:APT. 3D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-7200
Mailing Address - Country:US
Mailing Address - Phone:917-838-3918
Mailing Address - Fax:
Practice Address - Street 1:438 W 49TH ST
Practice Address - Street 2:APT. 3D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-7200
Practice Address - Country:US
Practice Address - Phone:917-838-3918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-19
Last Update Date:2009-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0158802251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics