Organization
CELESTE MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARICIO DECASTRO MD (OWNER)
(551) 204-2543
Entity
Organization
Contact information
Practice address
3010 GRAND CONCOURSE APT L3, BRONX, NY 10458-1534
(718) 220-2433
(718) 220-2433
Mailing address
154 ORANGEBURGH RD, OLD TAPPAN, NJ 07675-7499
(551) 204-2543
(718) 220-2434
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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