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Individual

CASANDRA CASTELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
136 QUEENS AVE, WEST BABYLON, NY 11704-2817
(631) 828-0569
Mailing address
136 QUEENS AVE, WEST BABYLON, NY 11704-2817
(631) 828-0569

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
04/27/2015
Last updated
08/11/2015
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