Provider Demographics
NPI:1649496332
Name:CASSIS AND MORCOS DENTAL SERVICES
Entity type:Organization
Organization Name:CASSIS AND MORCOS DENTAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:D
Authorized Official - Last Name:DEPALMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-683-9100
Mailing Address - Street 1:2920 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1402
Mailing Address - Country:US
Mailing Address - Phone:516-796-8300
Mailing Address - Fax:516-796-8332
Practice Address - Street 1:2920 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 2
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1402
Practice Address - Country:US
Practice Address - Phone:516-796-8300
Practice Address - Fax:516-796-8332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty