Individual
DR. JEAN-LAURENT CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 YORK AVE, BOX 163, NEW YORK, NY 10065-6307
(212) 327-7331
(212) 327-7330
Mailing address
1230 YORK AVE, BOX 163, NEW YORK, NY 10065-6307
(212) 327-7331
(212) 327-7330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
61-003460
NY
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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