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1104201300
ANTONIO JOSE CASANOVA
GARDEN CITY, NY
NPI
1104201300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 045918)
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business Address
Dr. ANTONIO JOSE CASANOVA
901 STEWART AVE SUITE 200
GARDEN CITY, NY 11530-4893
Phone number: 516-294-0202
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Mailing Address
Dr. ANTONIO JOSE CASANOVA
901 STEWART AVE SUITE 200
GARDEN CITY, NY 11530-4893
Phone number: 516-294-0202
Copy
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