Organization
JACK CASALE D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK H CASALE (OWNER)
(516) 822-5757
Entity
Organization
Contact information
Practice address
380 N BROADWAY, JERICHO, NY 11753-2115
(516) 822-5757
Mailing address
380 N BROADWAY, JERICHO, NY 11753-2115
(516) 822-5757
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
047118
NY
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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