Healthcare Provider Details

I. General information

NPI: 1144847864
Provider Name (Legal Business Name): CASSANDRA MARIE VOONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2020
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W 6TH ST STE 280
OSWEGO NY
13126-2551
US

IV. Provider business mailing address

140 W 6TH ST STE 280
OSWEGO NY
13126-2551
US

V. Phone/Fax

Practice location:
  • Phone: 315-349-5752
  • Fax: 315-349-5769
Mailing address:
  • Phone: 315-349-5752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number12087
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number344030
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: