Provider Demographics
NPI:1467524694
Name:CASDEN, DAMIEL DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAMIEL
Middle Name:DAVID
Last Name:CASDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 DUSTON RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2808
Mailing Address - Country:US
Mailing Address - Phone:516-791-6292
Mailing Address - Fax:516-791-5155
Practice Address - Street 1:1105 DUSTON RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-2808
Practice Address - Country:US
Practice Address - Phone:516-791-6292
Practice Address - Fax:516-791-5155
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY47367174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist