Individual
MR. JORGE L. CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
160 W 86TH ST, 101, NEW YORK, NY 10024-4018
(212) 362-8755
Mailing address
6801 NEWKIRK AVE, BASEMENT, NORTH BERGEN, NJ 07047-3722
(201) 388-6284
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
48594
NY
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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