Individual
MRS. DENISE G CASINOVER-RAIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1032 FORT SALONGA RD, NORTHPORT, NY 11768-2208
(631) 754-3338
(631) 754-3367
Mailing address
1032 FORT SALONGA RD, NORTHPORT, NY 11768-2208
(631) 754-3338
(631) 754-3367
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005219
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01573528
—
NY
Enumeration date
08/30/2005
Last updated
02/11/2009
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