Individual
ALFREDO CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9033 ELMHURST AVE, JACKSON HEIGHTS, NY 11372-7935
(718) 457-7000
(718) 899-4955
Mailing address
2535 31ST AVE, LONG ISLAND CITY, NY 11106-3607
(718) 274-2600
(718) 274-1772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01828188
—
NY
01
—
112990594
TAX ID
NY
Enumeration date
09/21/2005
Last updated
02/08/2013
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