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Longkat Kesmen

NPI 1962657981 · on the registry since 2008

Practice

Address
578 E 163rd St Apt 2a
Bronx, NY 10456
Phone
(718) 292-4054

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York