# CAST A FOOT PODIATRY PC

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

## Provider details

- **NPI number:** 1700172582
- **Authorized official:** DR. NICOLE M CASTILLO (CEO)
- **Authorized official phone:** (718) 685-8405

## Contact information

- **Practice address:** 474 FULTON AVE, SUITE 202, HEMPSTEAD, NY 11550-4101
- **Practice address phone:** (516) 493-9999
- **Mailing address:** 474 FULTON AVE, SUITE 202, HEMPSTEAD, NY 11550-4101
- **Mailing address phone:** (516) 493-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 006326 | NY | Yes |

## Other

- **Enumeration date:** 06/21/2011
- **Last updated:** 12/18/2013