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NPI Code Detail

MEDICARE: BRUNO F CASANOVA MD

MEDICARE: BRUNO F CASANOVA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0000XObstetrics Physician254358NY

General Provider Information

NPI Number : 1316003221
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUNO F CASANOVA MD
Provider Business Mailing Address
First Line : ADVANTAGECARE PHYSICIANS, PC
Second Line : 55 WATER ST FL 2
City : NEW YORK
State : NY
Zip : 10041-0010
Country : US
Telephone Number : 646-680-2888
Fax Number : 516-542-5556
Provider Business Practice Location Address
First Line : 447 ATLANTIC AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1702
Country : US
Telephone Number : 718-858-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 01/26/2026

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Directions to “ BRUNO F CASANOVA MD” Practice Location

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