Individual
COLLEEN VANESSA CASTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 E 56TH ST, BROOKLYN, NY 11203-3784
(347) 220-5943
Mailing address
149 E 56TH ST, BROOKLYN, NY 11203-3784
(347) 220-5943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
826999
NY
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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