Individual
ANLLY J CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6770 YELLOWSTONE BLVD APT C, FOREST HILLS, NY 11375-2836
(347) 744-3978
Mailing address
6770 YELLOWSTONE BLVD APT C, FOREST HILLS, NY 11375-2836
(347) 744-3978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1240989181
NY
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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