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NPI Code Detail

MEDICARE: KASANG SHERPA

MEDICARE:   KASANG  SHERPA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse300531NY

General Provider Information

NPI Number : 1033553029
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASANG SHERPA
Provider Business Mailing Address
First Line : 4024 76TH ST
Second Line :
City : ELMHURST
State : NY
Zip : 11373-1009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4024 76TH ST
Second Line :
City : ELMHURST
State : NY
Zip : 11373-1009
Country : US
Telephone Number : 347-517-1492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2013
Last Update Date : 04/22/2013

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Directions to “ KASANG SHERPA ” Practice Location

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