Individual
ANDY MARTYN CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 AMSTERDAM AVE FL 11, NEW YORK, NY 10025-1737
(212) 636-1474
Mailing address
1090 AMSTERDAM AVE FL 15, NEW YORK, NY 10025-1737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
129055
NY
Other
Enumeration date
09/27/2021
Last updated
09/20/2025
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