Individual provider · NPI-1

Dr. Joann Cassimatis, D.D.S.

Dentist · Middletown, NY

NPI number1679739254
StatusActive
Last updated in NPPESAug 2, 2008

Details

NPI
1679739254
Entity type
Individual (NPI-1)
Name
Dr. Joann Cassimatis
Credential
D.D.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 2, 2008
Last updated
Aug 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist040601-1NYYes

Practice location

2 Albert St
Middletown, NY 10940-3902

Phone 845-342-5411

Mailing address

2 Albert St
Middletown, NY 10940-3902

Phone 845-342-5411

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