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NPI Code Detail

MEDICARE: SAIRA KASPER-PANIAGUA

MEDICARE:   SAIRA  KASPER-PANIAGUA
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
1225700000XMassage Therapist0239497NY

General Provider Information

NPI Number : 1164036554
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAIRA KASPER-PANIAGUA
Provider Business Mailing Address
First Line : 400 GARDEN CITY PLZ STE 110
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-3336
Country : US
Telephone Number : 516-410-8306
Fax Number :
Provider Business Practice Location Address
First Line : 400 GARDEN CITY PLZ STE 110
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-3336
Country : US
Telephone Number : 516-410-8306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2020
Last Update Date : 09/02/2020

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Directions to “ SAIRA KASPER-PANIAGUA ” Practice Location

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