Individual
MICHELLE ANN CASTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87 W ROE BLVD, PATCHOGUE, NY 11772-2566
(631) 355-0588
Mailing address
87 W ROE BLVD, PATCHOGUE, NY 11772-2566
(631) 355-0588
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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