MEDICARE: CASCYA CHARLOT 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
1	207KA0200X	Allergy Physician	226865	NY

General Provider Information

NPI Number	:	1043258726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASCYA CHARLOT MD

Provider Business Mailing Address
First Line	:	10 PLAZA ST E
Second Line	:	1E
City	:	BROOKLYN
State	:	NY
Zip	:	11238-4954
Country	:	US
Telephone Number	:	917-568-7935
Fax Number	:	347-710-1959

Provider Business Practice Location Address
First Line	:	60 PLAZA ST E # 1L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-5025
Country	:	US
Telephone Number	:	347-564-3211
Fax Number	:	347-710-1959

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	09/26/2025

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