Provider Demographics
NPI:1760263172
Name:DOWNES, CASSANDRA (CRPA-P)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:DOWNES
Suffix:
Gender:F
Credentials:CRPA-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 CIRCLE BROOK DR APT K
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-8226
Mailing Address - Country:US
Mailing Address - Phone:929-270-9455
Mailing Address - Fax:
Practice Address - Street 1:369 LEXINGTON AVE RM 14A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6526
Practice Address - Country:US
Practice Address - Phone:212-204-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist