Individual
DR. RICARDO CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BROOKDALE PLZ, DEPARTMENT OF CARDIOLOGY, BROOKLYN, NY 11212-3139
(718) 240-6201
(718) 240-6618
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT DEPARTMENT, MELVILLE, NY 11747-4230
(631) 391-7700
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
239891
NY
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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