Individual
KHADIJAH CASTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
16 FAIRLAWN LOOP, STATEN ISLAND, NY 10308-3509
(473) 284-6900
(347) 812-0099
Mailing address
16 FAIRLAWN LOOP, STATEN ISLAND, NY 10308-3509
(473) 284-6900
(347) 812-0099
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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