Individual
DR. MICHAEL GENE CASTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
750 EAST ADAMS ST, SYRACUSE, NY 13210
(315) 464-6106
(315) 464-6117
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0102204338
VA
208800000X
Urology Physician
02006181A
IN
208800000X
Urology Physician
032.0107285
VT
208800000X
Urology Physician
Primary
16732
ND
208800000X
Urology Physician
2483
WV
208800000X
Urology Physician
281091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01216612
RAILROAD MEDICARE
—
Enumeration date
07/18/2008
Last updated
06/09/2022
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