Individual
DENISE R CASAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9 HOMESTEAD CT, CLINTON, NY 13323-1041
(315) 507-1869
(315) 733-0109
Mailing address
9 HOMESTEAD CT, CLINTON, NY 13323-1041
(315) 796-1219
(315) 733-0109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
334068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02413358
—
NY
Enumeration date
08/20/2005
Last updated
12/10/2024
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