Individual
DR. ANTONIO JOSE CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 STEWART AVE, SUITE 200, GARDEN CITY, NY 11530-4893
(516) 294-0202
(516) 294-3564
Mailing address
901 STEWART AVE, SUITE 200, GARDEN CITY, NY 11530-4893
(516) 294-0202
(516) 294-3564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045918
NY
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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