Individual
SUSAN CASTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
169 MELANIE WAY, COMMACK, NY 11725-4648
(516) 551-9032
Mailing address
169 MELANIE WAY, COMMACK, NY 11725-4648
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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