Individual
DR. JOHANNA CABASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
111 E 210TH ST # STREET1, BRONX, NY 10467-2401
(718) 920-4951
Mailing address
111 E 210TH ST, OUTPATIENT DEPARTMENT OF PSYCHIATRY, BRONX, NY 10467-2401
(718) 920-4951
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
276079-1
NY
Other
Enumeration date
08/21/2014
Last updated
09/19/2014
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