Provider Demographics
NPI:1255981817
Name:CAUSARANO, JOSEPH FRANK
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:FRANK
Last Name:CAUSARANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 LEFFERTS RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1713
Mailing Address - Country:US
Mailing Address - Phone:516-996-6745
Mailing Address - Fax:516-996-6745
Practice Address - Street 1:92 LEFFERTS RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1713
Practice Address - Country:US
Practice Address - Phone:516-996-6745
Practice Address - Fax:516-996-6745
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006300171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty