Casper, Theodore

Casper, Theodore is an individual health care provider with primary practice located at 1250 Waters Pl Suite 506, Bronx NY 10461-2720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Casper, Theodore can be contacted via phone (718) 892-1200.

Contact Information

Primary practice address
1250 Waters Pl Suite 506 Bronx NY 10461-2720
Phone: (718) 892-1200
Fax: (718) 918-1696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 150115 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 150115 New York

Profile Details

NPI number 1457352593
LBN Legal business name Casper, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 28th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457352593 NPPES
New York MEDICAID 01418386

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