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Individual

DR. RALPH CARMINE CASELNOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 PETTIT AVE, STE 4, BELLMORE, NY 11710
(516) 409-0106
(516) 409-0108
Mailing address
250 PETTIT AVE, STE 4, BELLMORE, NY 11710
(516) 409-0106
(516) 409-0108

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
108144
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000053679
GHI HMO
05
00365595
NY
01
0038690
GHI
01
04798G
GHI MEDICARE
01
108144
HIP
01
390006774
RAILROAD MEDICARE
01
4210
MAGNACARE
01
45006H
HEALTHCARE PARTNERS
01
4C1076
HEALTHNET
01
52250
VYTRA
01
69117
BLUE SHIELD
01
AE45759
MDNY HEALTHCARE
01
P1535330
OXFORD
Enumeration date
12/01/2005
Last updated
03/11/2010
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