Individual
CRAIG DECESARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5700 MERRICK RD, MASSAPEQUA, NY 11758-6221
(516) 798-9605
(516) 798-9373
Mailing address
5700 MERRICK RD, MASSAPEQUA, NY 11758-6221
(516) 798-9605
(516) 798-9373
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
044179
NY
225100000X
Physical Therapist
Primary
044179
NY
Other
Enumeration date
04/30/2019
Last updated
05/11/2026
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