Individual
TRACEY CASTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 MONTAUK HWY, WEST ISLIP, NY 11795-4401
(631) 587-2500
Mailing address
114 KELLUM ST, WEST BABYLON, NY 11704-5020
(631) 901-7359
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F354388-01
NY
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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