Individual
DR. ROBERT JOHN CASTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8612 JAMAICA AVE, WOODHAVEN, NY 11421-2042
(718) 846-7872
(718) 846-6001
Mailing address
8612 JAMAICA AVE, WOODHAVEN, NY 11421-2042
(718) 846-7872
(718) 846-6001
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
004630
NY
332B00000X
Durable Medical Equipment & Medical Supplies
NY004630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01157253
—
NY
05
—
04196609
—
NY
01
—
NY004630
NY STATE LICENSE NUMBER
NY
01
—
PO 002040
FLORIDA STATE LICENSE
FL
Enumeration date
06/25/2005
Last updated
10/08/2019
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