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Organization

LAWRENCE CASSANO

Active
Other names
Dr Lawrence Cassano Jr DPM
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE CASSANO DPM (OWNER)
(631) 447-9263
Entity
Organization

Contact information

Practice address
285 SILLS RD, SUITE 10-A, EAST PATCHOGUE, NY 11772-4869
(631) 447-9263
(631) 758-8249
Mailing address
285 SILLS RD, SUITE 10-A, EAST PATCHOGUE, NY 11772-4869
(631) 447-9263
(631) 758-1904

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N004610
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5403670001
MEDICARE DMERC
NY
Enumeration date
01/04/2008
Last updated
11/18/2008
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