Individual
EVITA CASTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 DWIGHT AVE, SPRING VALLEY, NY 10977-3103
(845) 803-2636
Mailing address
26 DWIGHT AVE, SPRING VALLEY, NY 10977-3103
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
513218-1
NY
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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