Individual
DR. ANTHONY J. CASINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 MARK TREE RD, CENTEREACH, NY 11720-2279
(631) 737-2626
(631) 737-0820
Mailing address
1 MARK TREE RD, CENTEREACH, NY 11720-2279
(631) 737-2626
(631) 737-0820
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
035611
NY
174400000X
Specialist
035611
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
035611
NY
Other
Enumeration date
06/16/2006
Last updated
07/19/2019
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