Individual
MS. ERMANY CASTILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1070 SOUTHERN BLVD, BRONX, NY 10459-2412
(718) 589-4541
(718) 893-8511
Mailing address
1070 SOUTHERN BLVD, BRONX, NY 10459-2412
(718) 589-4541
(718) 893-8511
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011365
NEW YORK STATE LICENSE NUMBER
NY
Enumeration date
05/20/2008
Last updated
05/20/2008
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