Individual
MR. CASSIANY ALEXANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1000
Mailing address
1111 OCEAN AVE APT 403, BROOKLYN, NY 11230-2046
(347) 968-5858
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
021572-1
NY
363AS0400X
Surgical Physician Assistant
021572-1
NY
Other
Enumeration date
11/05/2017
Last updated
11/05/2017
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