Individual
GINAMARIE CASELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 HOLLINGS DR, DEER PARK, NY 11729-1925
(631) 553-2124
Mailing address
29 HOLLINGS DR, DEER PARK, NY 11729-1925
(631) 553-2124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F358690
NY
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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