Individual
DENNIS CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
250 GRAND CONCOURSE, BRONX, NY 10451
(718) 292-4455
Mailing address
250 GRAND CONCOURSE, BRONX, NY 10451-5430
(718) 292-4455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01233421
—
NY
Enumeration date
06/03/2006
Last updated
07/02/2018
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