Individual
JENNIFER CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
650 CENTRAL AVE, CEDARHURST, NY 11516-2301
(516) 804-8590
Mailing address
650 CENTRAL AVE, CEDARHURST, NY 11516-2301
(516) 804-8590
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F31077801
NY
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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