JERRY C CASILUM

NEW HYDE PARK, NY
NPI1710004429
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  005147)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Mr. JERRY C CASILUM PA
27005 76TH AVE
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-7261
Mailing Address
Mr. JERRY C CASILUM PA
27005 76TH AVE
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-7261
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