# ANTONIO CASANOVA DDS & BRUCE GOLDMAN DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609267780
- **Authorized official:** DR. BRUCE GOLDMAN D.M.D. (CO-OWNER)
- **Authorized official phone:** (516) 294-0202

## Contact information

- **Practice address:** 901 STEWART AVE, SUITE 200, GARDEN CITY, NY 11530-4893
- **Practice address phone:** (516) 294-0202
- **Practice address fax:** (516) 294-3564
- **Mailing address:** 901 STEWART AVE, SUITE 200, GARDEN CITY, NY 11530-4893
- **Mailing address phone:** (516) 294-0202
- **Mailing address fax:** (516) 294-3564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 042915 | NY | Yes |

## Other

- **Enumeration date:** 02/11/2015
- **Last updated:** 02/11/2015