Provider Demographics
NPI:1801631825
Name:KASAJ, DURAN (PT)
Entity type:Individual
Prefix:
First Name:DURAN
Middle Name:
Last Name:KASAJ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4157 AMBOY RD APT E
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-2303
Mailing Address - Country:US
Mailing Address - Phone:347-205-1604
Mailing Address - Fax:
Practice Address - Street 1:9000 SHORE RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5401
Practice Address - Country:US
Practice Address - Phone:718-921-2945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist