Provider Demographics
NPI:1992032908
Name:CASOY, FLAVIO (MD)
Entity Type:Individual
Prefix:DR
First Name:FLAVIO
Middle Name:
Last Name:CASOY
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 1:223 BEDFORD AVE
Mailing Address - Street 2:PMB #801
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-5525
Mailing Address - Country:US
Mailing Address - Phone:646-504-9104
Mailing Address - Fax:
Practice Address - Street 1:928 BROADWAY
Practice Address - Street 2:SUITE 1100
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6008
Practice Address - Country:US
Practice Address - Phone:646-504-9104
Practice Address - Fax:646-219-8593
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1130662084P0800X
NY2690072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry