Provider Demographics
NPI:1447569082
Name:CASANO, A ANDREW (M D)
Entity type:Individual
Prefix:DR
First Name:A
Middle Name:ANDREW
Last Name:CASANO
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CHESTNUT HILL RD S
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12211-1666
Mailing Address - Country:US
Mailing Address - Phone:518-462-2406
Mailing Address - Fax:
Practice Address - Street 1:16 CHESTNUT HILL RD S
Practice Address - Street 2:
Practice Address - City:LOUDONVILLE
Practice Address - State:NY
Practice Address - Zip Code:12211-1666
Practice Address - Country:US
Practice Address - Phone:518-462-2406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104013-1207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology