Provider Demographics
NPI:1992069983
Name:CASCIO, MELISSA A (MELISSA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:CASCIO
Suffix:
Gender:F
Credentials:MELISSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GLEN HOLLOW DR
Mailing Address - Street 2:E-14
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742-2437
Mailing Address - Country:US
Mailing Address - Phone:631-707-3145
Mailing Address - Fax:
Practice Address - Street 1:14 GLEN HOLLOW DR
Practice Address - Street 2:E-14
Practice Address - City:HOLTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11742-2437
Practice Address - Country:US
Practice Address - Phone:631-707-3145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist