Provider Demographics
NPI:1023382496
Name:DOWLING, CASANDRA S (RN,BC,PMHN)
Entity Type:Individual
Prefix:MS
First Name:CASANDRA
Middle Name:S
Last Name:DOWLING
Suffix:
Gender:F
Credentials:RN,BC,PMHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20437
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-0008
Mailing Address - Country:US
Mailing Address - Phone:347-581-9441
Mailing Address - Fax:
Practice Address - Street 1:82 CRYSTAL ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-2607
Practice Address - Country:US
Practice Address - Phone:347-581-9441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32544163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health