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Contact Information

ROGER A KASENDORF, DO
305 LAURELTON BLVD
LONG BEACH, NY11561
 Phone: 516-336-4362
 Fax: 516-670-0109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ROGER A KASENDORF · (Male)

NPI # 1356371884
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/03/2006
Last updated 08/15/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A12928
  • NY License # 239449-1
  • NY Medicaid 02940027
Hospital affiliation(s)
  • SCRIPPS MEMORIAL HOSPITAL LA JOLLA - (Acute Care)
    9888 GENESEE AVENUE
    LA JOLLA, CA 92037
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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