Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY C CASILUM, PA
Active Sole ProprietorMR. JERRY C CASILUM, PA is a Physician Assistant healthcare provider located in NEW HYDE PARK, New York. NPI 1710004429 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEW HYDE PARK, NY
Registration Details
- NPI Number
- 1710004429
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.199110907976 yrs)
- Last Updated
- Jul 8, 2007
- License
-
005147 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27005 76TH AVENEW HYDE PARK, NY, 110401433Browse NY providers · Browse ZIP 11040
- Phone
- 7184707261
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NEW HYDE PARK, NY
| Name | Credential | NPI |
|---|---|---|
| INGENAI FRANCIS | P.A. | 1336126606 |
| MR. OLEG A VISHNYAK | PAC | 1477514644 |
| JILLIAN J MATTHEWS | RPAC | 1487612917 |
| YOLANDA MENSAH | PA | 1669419222 |
| JOSLYN MATHEW VARGHESE | PA | 1700826914 |
| DEBRA JEMISON | PA | 1508800400 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.