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NPI Code Detail

MEDICARE: DR. ALEXANDRA KASS DPT

MEDICARE: DR. ALEXANDRA KASS DPT
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
1225100000XPhysical Therapist40QA01636300NJ
2225100000XPhysical Therapist4193ID
3225100000XPhysical Therapist041480-1NY

General Provider Information

NPI Number : 1336519784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDRA KASS DPT
Provider Business Mailing Address
First Line : 1311 MAMARONECK AVE STE 140
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5224
Country : US
Telephone Number : 914-294-4050
Fax Number :
Provider Business Practice Location Address
First Line : 2 FRONT ST
Second Line :
City : MILLBROOK
State : NY
Zip : 12545-5948
Country : US
Telephone Number : 845-677-5021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2015
Last Update Date : 04/26/2022

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