| Gina Nicole Cassel, DO | |
|
1233 Daffodil Ln, Wantagh, NY 11793-2505 | |
| (516) 521-7597 | |
| Not Available |
| Full Name | Gina Nicole Cassel |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1233 Daffodil Ln, Wantagh, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790004653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 256091 (New York) | Primary |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | The Brookdale Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
| Entity Name | Harlem Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487957692 PECOS PAC ID: 9335321223 Enrollment ID: O20110315000005 |
| Entity Name | Samaritan Pediatric Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730308925 PECOS PAC ID: 7618151887 Enrollment ID: O20110413000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Nicole Cassel, DO 1233 Daffodil Ln, Wantagh, NY 11793-2505 Ph: () - | Gina Nicole Cassel, DO 1233 Daffodil Ln, Wantagh, NY 11793-2505 Ph: (516) 521-7597 |
Justin Lacorte, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1167 Wantagh Ave, Wantagh, NY 11793 Phone: 516-900-1201 | |
Dr. Christine Myers-doran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1167 Wantagh Ave, Wantagh, NY 11793 Phone: 516-900-1201 Fax: 516-900-1202 |