Individual provider · Type 1 NPI
Sharona Deborah Kashimallak, RPA-C
Medical Physician Assistant · New York, NY
NPI number
1003107392
Active
Practice location
462 1st Ave
New York, NY 10016-9196
Mailing address
29 Oxford Blvd
Great Neck, NY 11023-2238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 014460 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1003107392
Sharona Deborah Kashimallak, RPA-C's National Provider Identifier is 1003107392, issued on Apr 21, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Apr 21, 2011.