Provider Demographics
NPI:1952517542
Name:CASIMIR, A. STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:A. STEPHEN
Middle Name:
Last Name:CASIMIR
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 1:466 COUNTY ROAD 2
Mailing Address - Street 2:CASIMIR ROAD
Mailing Address - City:GREENE
Mailing Address - State:NY
Mailing Address - Zip Code:13778-3320
Mailing Address - Country:US
Mailing Address - Phone:607-656-8598
Mailing Address - Fax:
Practice Address - Street 1:415 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-4925
Practice Address - Country:US
Practice Address - Phone:607-786-1801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0878162083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine