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Individual
DR. KELLY CASSANO
Active
Individual
DR. KELLY CASSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
202251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133010833
1199
NY
01
—
1949120
UNITED HEALTH CARE
NY
01
—
1C9402
HEALTH NET
NY
01
—
202251
HIP
NY
01
—
4305031N
CIGNA
NY
01
—
46X341
EMPIRE BC BS FEDERAL
NY
01
—
CK2251
ATLANTIS
NY
01
—
P562461
OXFORD
NY
Enumeration date
12/20/2006
Last updated
09/14/2012
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