Individual
CASSANDRA E VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MMC - DEPT. OF MEDICINE, 111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-7864
Mailing address
89 N BROADWAY, WHITE PLAINS, NY 10603-3738
(718) 920-7864
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
147413
NY
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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