Individual
GINA NICOLE CASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1233 DAFFODIL LN, WANTAGH, NY 11793-2505
(516) 521-7597
Mailing address
1233 DAFFODIL LN, WANTAGH, NY 11793-2505
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
256091
NY
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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