Individual
ANDRES CASTILLO OJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6637
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(572) 663-7516
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073004286
PASSPORT
—
01
—
772796133
DRIVER LICENSE
NY
Enumeration date
06/22/2018
Last updated
06/22/2018
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