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Individual
MRS. AMY LOUISE CASSINGHAM
Active
Individual
MRS. AMY LOUISE CASSINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009002
NY
363A00000X
Physician Assistant
Primary
1075
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03230499
—
NY
Enumeration date
12/04/2006
Last updated
03/30/2015
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