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Individual

DEAN NICK CASSIMATIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
277 QUASSAICK AVE, RT. 94, NEW WINDSOR, NY 12553-7632
(845) 565-5630
(845) 565-5643
Mailing address
2 COATES DR, GOSHEN, NY 10924-6758
(845) 651-1400
(845) 651-1512

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
175299
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01233398
NY
01
A400029609
MEDICARE
Enumeration date
07/21/2005
Last updated
10/03/2012
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