Healthcare Provider Details

I. General information

NPI: 1902028061
Provider Name (Legal Business Name): KAVITA KASAT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 COMMUNITY DR NORTH SHORE UNIVERSITY HOSPITAL - PEDIATRICS/NEONATOLOG
MANHASSET NY
11030-3816
US

IV. Provider business mailing address

160 E 38TH ST APT 28E
NEW YORK NY
10016-2651
US

V. Phone/Fax

Practice location:
  • Phone: 516-562-2235
  • Fax:
Mailing address:
  • Phone: 212-661-7092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number60-232840
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: