# MARIGOLD CASTILLO MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558941526
- **Authorized official:** MARIGOLD CASTILLO MD (OWNER)
- **Authorized official phone:** (718) 631-2273

## Contact information

- **Practice address:** 4205 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2573
- **Practice address phone:** (718) 631-2273
- **Practice address fax:** (718) 631-2278
- **Mailing address:** 4205 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2573
- **Mailing address phone:** (718) 631-2273
- **Mailing address fax:** (718) 631-2278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2021
- **Last updated:** 04/13/2021