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NPI Code Detail

MEDICARE: DR. CASSIE CAO PHD

MEDICARE: DR. CASSIE CAO PHD
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
1174400000XSpecialist1399193NY
2103K00000XBehavior Analyst001090-1NY

General Provider Information

NPI Number : 1932534286
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CASSIE CAO PHD
Provider Business Mailing Address
First Line : 225 BROADWAY STE 2710
Second Line :
City : NEW YORK
State : NY
Zip : 10007-3032
Country : US
Telephone Number : 646-875-8853
Fax Number : 855-300-2457
Provider Business Practice Location Address
First Line : 225 BROADWAY STE 2710
Second Line :
City : NEW YORK
State : NY
Zip : 10007-3032
Country : US
Telephone Number : 646-875-8853
Fax Number : 855-300-2457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2013
Last Update Date : 11/17/2022

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