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Individual

CARLOS J OCASIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2278 GRAND CONCOURSE, BRONX, NY 10457-1039
(718) 584-2274
(718) 584-0276
Mailing address
12 PARCOT AVE, NEW ROCHELLE, NY 10801-1211
(914) 633-9340
(718) 584-0276

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042608
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01171397
NY
Enumeration date
05/09/2007
Last updated
07/08/2007
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