MEDICARE: CARA CASSINO 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	207RP1001X	Pulmonary Disease Physician	177078	NY
2	207RP1001X	Pulmonary Disease Physician	040284	CT

General Provider Information

NPI Number	:	1356729412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA CASSINO MD

Provider Business Mailing Address
First Line	:	333 E 46TH ST
Second Line	:	APT 12D
City	:	NEW YORK
State	:	NY
Zip	:	10017-7401
Country	:	US
Telephone Number	:	203-988-5778
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 E 46TH ST
Second Line	:	12D
City	:	NEW YORK
State	:	NY
Zip	:	10017-7401
Country	:	US
Telephone Number	:	203-988-5778
Fax Number	:

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

Provider Enumeration Date	:	05/11/2015
Last Update Date	:	02/25/2017

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Directions to “ CARA CASSINO MD” Practice Location

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