Individual
DR. LEE W CASTELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., CNIM
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
Update your record
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