Individual
DR. JOSEPH M CASSOUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 VILLAGE GREEN DR, PORT JEFFERSON STATION, NY 11776-4532
(631) 474-1155
Mailing address
233 VILLAGE GREEN DR, PORT JEFFERSON STATION, NY 11776-4532
(631) 474-1155
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
084702
NY
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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