Individual
CASEY LYNN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 MEDICAL DR, PORT JEFFERSON STATION, NY 11776-1601
(631) 364-9119
Mailing address
24 CARNEGIE DR, SMITHTOWN, NY 11787-2029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
07/29/2018
Last updated
11/26/2019
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