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Individual

ADRIANA CASTELLANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4238 MERRICK RD, MASSAPEQUA, NY 11758-6016
(631) 419-6737
Mailing address
32 FAIRDALE DR, BRENTWOOD, NY 11717-1338

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336861
NY

Other

Enumeration date
11/25/2020
Last updated
11/25/2020
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