Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kieran Clasen

Individual provider Physical Therapy Assistant · NPI 1396560983

Kieran Clasen is a Physical Therapy Assistant in Riverhead, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
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Practice location Address checks out

74 Commerce Ave Ste 3
Riverhead, NY 11901-3105
Phone: (631) 369-9110
Fax: (631) 369-9004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 014318 (NY)

Record details

NPI number1396560983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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