Healthcare Provider Details

I. General information

NPI: 1285563585
Provider Name (Legal Business Name): DAVID KASHAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 BRYANT AVE FL 3
ROSLYN NY
11576-1158
US

IV. Provider business mailing address

55 BRYANT AVE FL 3
ROSLYN NY
11576-1158
US

V. Phone/Fax

Practice location:
  • Phone: 516-515-9267
  • Fax: 206-649-7195
Mailing address:
  • Phone: 516-515-9267
  • Fax: 206-649-7195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID LEOR KASHAN
Title or Position: PLASTIC SURGEON/OWNER
Credential: MD, FACS
Phone: 516-382-5457