Healthcare Provider Details

I. General information

NPI: 1538075031
Provider Name (Legal Business Name): EVA KASAL EMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6676 70TH ST
MIDDLE VILLAGE NY
11379-1737
US

IV. Provider business mailing address

2790 BROADWAY APT 6B
NEW YORK NY
10025-2841
US

V. Phone/Fax

Practice location:
  • Phone: 718-386-7230
  • Fax:
Mailing address:
  • Phone: 314-580-9077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number550981
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: