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

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X014460 (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.