Individual
JAN MARK CASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT-BC, LCAT
Contact information
Practice address
248 HIGBIE LN, WEST ISLIP, NY 11795-2828
(631) 867-2501
Mailing address
248 HIGBIE LN, WEST ISLIP, NY 11795-2828
(631) 867-2501
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
14618
—
Other
Enumeration date
05/16/2019
Last updated
01/17/2025
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