Individual
DR. CARLYLE DE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8900 VAN WYCK EXPRESSWAY, MELVILLE, NY 11747
(718) 206-6600
(631) 454-4161
Mailing address
80 MARCUS DRIVE, PROVIDER ENROLLMENT - JHMC ER, MELVILLE, NY 11747
(631) 391-7700
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
194618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01828248
—
NY
Enumeration date
10/02/2006
Last updated
07/08/2007
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