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Organization

NUMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROM JOHN CASTELLANO DO (MEDICAL INTERN)
(646) 250-0152
Entity
Organization

Contact information

Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-0123
Mailing address
19917 19TH AVE, WHITESTONE, NY 11357-3312
(646) 250-0152

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
181470
NY

Other

Enumeration date
07/29/2011
Last updated
07/29/2011
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