Individual provider · Type 1 NPI

Christopher Kassebaum

Specialist · Middle Island, NY

NPI number 1457045247 Active

Practice location

35 Longwood Rd
Middle Island, NY 11953-2045

Call (631) 924-0008 Map

Mailing address

PO Box 12
Middle Island, NY 11953-0012

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1457045247

Christopher Kassebaum's National Provider Identifier is 1457045247, issued on Jun 6, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Middle Island, NY. The record was last updated on Jun 6, 2023.