Individual
MELINDA DELCASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
278 E MAIN ST, SMITHTOWN, NY 11787
(631) 361-6960
(631) 366-5346
Mailing address
278 E MAIN ST, SMITHTOWN, NY 11787
(631) 361-6960
(631) 366-5346
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
A42313
CA
103TF0000X
Family Psychologist
A42313
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
A42313
CA
2084P0800X
Psychiatry Physician
Primary
156700
NY
Other
Enumeration date
05/01/2007
Last updated
04/14/2008
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