Provider Demographics
NPI:1235376401
Name:CASIMIR, YVES EDELINE
Entity Type:Individual
Prefix:
First Name:YVES
Middle Name:EDELINE
Last Name:CASIMIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 NORTH MIDDLETOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965
Mailing Address - Country:US
Mailing Address - Phone:845-920-1520
Mailing Address - Fax:845-920-1522
Practice Address - Street 1:282 N MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1216
Practice Address - Country:US
Practice Address - Phone:845-920-1520
Practice Address - Fax:845-920-1522
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334880363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily