Organization
CAST A FOOT PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE M CASTILLO (CEO)
(718) 685-8405
Entity
Organization
Contact information
Practice address
474 FULTON AVE, SUITE 202, HEMPSTEAD, NY 11550-4101
(516) 493-9999
Mailing address
474 FULTON AVE, SUITE 202, HEMPSTEAD, NY 11550-4101
(516) 493-9999
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006326
NY
Other
Enumeration date
06/21/2011
Last updated
12/18/2013
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