Doctor Name: | BRUNO F CASANOVA |
NPI Number: | 1316003221 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 254358 |
Business Practice Address: | 5 Grace Church St Port Chester, NY - 105734911 |
Business Phone Number: | 9149378899 |
Business Fax Number: | |
Mailing Address: | 165 Main St, OSSINING |
State: | NY |
Postal Code: | 105624702 |
Phone Number: | 9149411263 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 254358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |