Provider Demographics
NPI:1598986291
Name:DALIANA AND CASSARO SURGICAL
Entity Type:Organization
Organization Name:DALIANA AND CASSARO SURGICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAURIZIO
Authorized Official - Middle Name:
Authorized Official - Last Name:DALIANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-995-9790
Mailing Address - Street 1:247 3RD AVE
Mailing Address - Street 2:SUITE 504
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7457
Mailing Address - Country:US
Mailing Address - Phone:212-995-9790
Mailing Address - Fax:212-533-2074
Practice Address - Street 1:247 3RD AVE
Practice Address - Street 2:SUITE 504
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7457
Practice Address - Country:US
Practice Address - Phone:212-995-9790
Practice Address - Fax:212-533-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW18351Medicare PIN