Individual
MR. VINCENT JOHN CASERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
41 FAIRLAWN LOOP, STATEN ISLAND, NY 10308-3508
(917) 922-2842
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-1845
(718) 635-5777
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
032958
NY
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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