Provider Demographics
NPI:1699877209
Name:CASSON, DEBORAH L (NPP CS MS APRN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:CASSON
Suffix:
Gender:F
Credentials:NPP CS MS APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 SCOTTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2021
Mailing Address - Country:US
Mailing Address - Phone:315-536-6913
Mailing Address - Fax:315-536-7258
Practice Address - Street 1:1 KEUKA BUSINESS PARK
Practice Address - Street 2:
Practice Address - City:PENN YAN
Practice Address - State:NY
Practice Address - Zip Code:14527
Practice Address - Country:US
Practice Address - Phone:315-536-6913
Practice Address - Fax:315-536-7258
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400234-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health