Individual
DIANA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 QUEENS BLVD, 301, LONG ISLAND CITY, NY 11101-2302
(718) 593-4121
(718) 268-2646
Mailing address
3310 QUEENS BLVD, 301, LONG ISLAND CITY, NY 11101-2302
(718) 593-4121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007844
NY
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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