Individual
SERGIO A CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 243-1916
(518) 243-1853
Mailing address
600 MCCLELLAN ST, 2 WEST, SCHENECTADY, NY 12304-1009
(518) 347-5400
(518) 347-5222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
176200
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
176200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00407061003
BSNENY
—
05
—
01287925
—
NY
01
—
10020323
CDPHP
—
01
—
110105255
RAILROAD MEDICARE
NY
01
—
5737570
AETNA
—
01
—
91F542
BLUE CROSS
NY
01
—
924011
MVP
—
Enumeration date
06/28/2006
Last updated
11/15/2010
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