Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 191964 | NY |
N | 2080P0214X | Pediatric Pulmonologist | 35544 | CT |
NPI | 1154317741 |
---|---|
Provider Name | Lewis J Kass |
First Address | Mount Kisco, NY 10549-3440 |
Second Address | Mount Kisco, NY 10549-3440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 13/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G01334 | (02) |