Individual
MARIGOLD C CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4205 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2573
(718) 631-2273
(718) 631-2278
Mailing address
4205 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2573
(718) 631-2273
(718) 631-2278
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
047884
CT
2080A0000X
Pediatric Adolescent Medicine Physician
265887
NY
Other
Enumeration date
05/09/2007
Last updated
12/12/2019
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