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Individual

DR. LEE W CASTELLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., CNIM

Contact information

Practice address
35 HICKORY CT, STATEN ISLAND, NY 10309-1632
(718) 605-7896
Mailing address
35 HICKORY CT, STATEN ISLAND, NY 10309-1632
(718) 605-7896

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
010730
NY
111N00000X
Chiropractor
38MC00665200
NJ
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010730
STATE LICENSE NUMBER
NY
01
38MC00665200
NJ LIC.
NJ
Enumeration date
07/29/2005
Last updated
03/23/2011
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