Individual
DR. STACIA CASILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
19 W 34TH ST, PENTHOUSE, NEW YORK, NY 10001-3006
(347) 491-7285
Mailing address
57 W 57TH ST STE 9129TH, NEW YORK, NY 10019-2802
(855) 767-7287
(646) 687-7893
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0174101
NY
Other
Enumeration date
02/09/2011
Last updated
01/12/2018
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