Provider Demographics
NPI:1902213002
Name:CASSANO, CRISTIANA
Entity Type:Individual
Prefix:
First Name:CRISTIANA
Middle Name:
Last Name:CASSANO
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 1:400 FT WASHINGTN AVE APT 2D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-6835
Mailing Address - Country:US
Mailing Address - Phone:917-569-0918
Mailing Address - Fax:
Practice Address - Street 1:400 FT WASHINGTN AVE APT 2D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-6835
Practice Address - Country:US
Practice Address - Phone:917-569-0918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY658263163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse