Individual
JOHNNY MANUEL CASTILLO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3578 DEKALB AVE APT 5F, BRONX, NY 10467-1179
(347) 739-4399
Mailing address
3578 DEKALB AVE APT 5F, BRONX, NY 10467-1179
(347) 739-4399
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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