Provider Demographics
NPI:1972944494
Name:DELCASINO, STEPHEN JOSEPH JR (PA-C)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:JOSEPH
Last Name:DELCASINO
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:43 WHITING HILL RD
Mailing Address - Street 2:CIANCHETTE BUILDING
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1005
Mailing Address - Country:US
Mailing Address - Phone:207-973-5233
Mailing Address - Fax:
Practice Address - Street 1:7500 SMOKE RANCH RD STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0373
Practice Address - Country:US
Practice Address - Phone:702-233-0727
Practice Address - Fax:702-233-4799
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2020-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MEPA1417363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant