Provider Demographics
NPI:1265514996
Name:CASARONA, JOSEPH CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CHARLES
Last Name:CASARONA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:263-7TH AVE
Mailing Address - Street 2:STE 4F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:718-369-1922
Mailing Address - Fax:718-369-2025
Practice Address - Street 1:263-7TH AVE
Practice Address - Street 2:SUITE 4F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3692
Practice Address - Country:US
Practice Address - Phone:718-369-1922
Practice Address - Fax:718-369-2025
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1621492084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA60064Medicare UPIN