| Jack Casale D.d.s., P.c. | |
|
380 N Broadway Jericho NY 11753-2115 | |
| (516) 822-5757 | |
| Not Available |
| Full Name | Jack Casale D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 380 N Broadway, Jericho, New York |
| Authorized Official Name and Position | Jack H Casale (OWNER) |
| Authorized Official Contact | 5168225757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Casale D.d.s., P.c. 380 N Broadway Jericho NY 11753-2115 Ph: (516) 822-5757 | Jack Casale D.d.s., P.c. 380 N Broadway Jericho NY 11753-2115 Ph: (516) 822-5757 |
| NPI Number | 1629279419 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629279419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 047118 (New York) | Primary |
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