Kassnove, Matthew
Kassnove, Matthew is an sole proprietor health care provider with primary practice located at 440 Waverly Ave Ste 3 Suite 3, Patchogue NY 11772-1597. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Kassnove, Matthew can be contacted via phone (631) 654-3838.Contact Information
Primary practice address
440 Waverly Ave Ste 3 Suite 3
Patchogue NY 11772-1597
Phone: (631) 654-3838
Fax: (631) 654-3832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | N005591 | New York |
Profile Details
| NPI number | 1346226909 |
|---|---|
| LBN Legal business name | Kassnove, Matthew |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Jan 8th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346226909 | NPPES |
| New York | MEDICAID | 02354814-5 |
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