Individual provider · Type 1 NPI

Colin Heywood Cassidy

Student in an Organized Health Care Education/Training Program · Smithtown, NY

NPI number 1992359095 Active

Practice location

11 Route 111
Smithtown, NY 11787-3754

Call (631) 920-8300 Map

Mailing address

81 Hazard Ave
Huntington Station, NY 11746-3244

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992359095

Colin Heywood Cassidy's National Provider Identifier is 1992359095, issued on Jul 26, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Smithtown, NY. The record was last updated on Jul 26, 2019.