Individual
EDWIN CASADIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 GRASSLANDS CIR, MOUNT SINAI, NY 11766-1857
(631) 767-1093
Mailing address
80 CASEMENT AVE, CENTRAL ISLIP, NY 11722-5002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
P138601
NY
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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