Organization
MARIGOLD CASTILLO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIGOLD CASTILLO MD (OWNER)
(718) 631-2273
Entity
Organization
Contact information
Practice address
4205 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2573
(718) 631-2273
(718) 631-2278
Mailing address
4205 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2573
(718) 631-2273
(718) 631-2278
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03493203
—
NY
Enumeration date
04/13/2021
Last updated
04/13/2021
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