Individual
DR. BRIAN D. CASSETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 ARNOT RD, SUITE A, HORSEHEADS, NY 14845-8533
(607) 739-3874
(607) 739-3632
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
153836-1
NY
207R00000X
Internal Medicine Physician
MD028026E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010878490001
—
PA
05
—
01028899
—
NY
01
—
110223749
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
03/02/2006
Last updated
06/22/2011
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