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Casey Sciandra

Student in an Organized Health Care Education/Training Program in New Hyde Park, NY. Individual provider (NPI-1).

NPI number1013767029
StatusActive
Last updated in NPPESMar 25, 2024

Details

NPI
1013767029
Entity type
Individual (NPI-1)
Name
Casey Sciandra
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2024
Certification date
Mar 23, 2024
Last updated
Mar 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

269-01 76th Ave
New Hyde Park, NY 11040-1433

Phone 718-470-8284

Mailing address

269-01 76th Ave
New Hyde Park, NY 11040-1433

Phone 718-470-8284

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