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Organization

CASSENA CARE IPA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY DEROSA (VP OF FINANCE)
(516) 422-7817
Entity
Organization

Contact information

Practice address
225 CROSSWAYS PARK DR, WOODBURY, NY 11797-2054
(516) 422-7817
(631) 792-1341
Mailing address
225 CROSSWAYS PARK DR, WOODBURY, NY 11797-2054
(516) 422-7817
(631) 792-1341

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
03/25/2016
Last updated
03/25/2016
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