Individual
MARTHA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
13750 JAMAICA AVE, JAMAICA, NY 11435-3610
(718) 298-5100
Mailing address
13802 QUEENS BLVD, BRIARWOOD, NY 11435-2642
(718) 657-1100
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
527143
NY
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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