Healthcare Provider Details

I. General information

NPI: 1255981817
Provider Name (Legal Business Name): MR. JOSEPH FRANK CAUSARANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 09/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 LEFFERTS RD
GARDEN CITY NY
11530-1713
US

IV. Provider business mailing address

92 LEFFERTS RD
GARDEN CITY NY
11530-1713
US

V. Phone/Fax

Practice location:
  • Phone: 516-996-6745
  • Fax: 516-996-6745
Mailing address:
  • Phone: 516-996-6745
  • Fax: 516-996-6745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number006300
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: