Individual
CHRISTOPHER M CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7001
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013649
NY
363AS0400X
Surgical Physician Assistant
Primary
013649
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03191206
—
NY
Enumeration date
10/20/2009
Last updated
08/04/2020
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