Individual
LEE GRAYSON CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
NP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040
(718) 470-7000
Mailing address
277 HARRISON AVE, MILLER PLACE, NY 11764-3429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
632529
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431371
NY
Other
Enumeration date
06/06/2018
Last updated
04/30/2024
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