NPI Profile for Dr ANTHONY J CASINO in CENTEREACH, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Pathology |
1223P0106X | |||
Specialist |
174400000X |
| NPI Number | 1649214651 |
|
| Status | Active | |
| Credentials | DDS (Doctor of Dental Surgery) | |
| Entity | Individual | |
| Enumeration date | 06/16/2006 | |
| Last updated | 07/19/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ANTHONY J CASINO
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