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Individual

MRS. BROOKE CASTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS ED,

Contact information

Practice address
1355 STONY BROOK RD, STONY BROOK, NY 11790-2203
(631) 285-6400
(631) 285-6523
Mailing address
22 RAYNOR RD, RIDGE, NY 11961-1904
(631) 379-4104

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1109269171
NY

Other

Enumeration date
03/19/2018
Last updated
03/19/2018
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