Individual
LANCE CASTELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 PROSPECT AVE, SUITE 210, HUDSON, NY 12534-2907
(518) 828-3327
(518) 697-8158
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8363
(518) 697-3388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-169438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004928500
BSNENY
—
01
—
0094821
GHI PPO
—
05
—
01160296
—
NY
01
—
04026007337
FIDELIS
—
01
—
080139874
RAILROAD MEDICARE
—
01
—
087610
MVP
—
01
—
08L943
BLUE CROSS/ BLUE SHIELD
—
01
—
10031624
CDPHP
—
01
—
110480
WELLCARE
—
01
—
1924390
UNITEDHEALTH CARE
—
01
—
45016
GHI HMO
—
Enumeration date
05/22/2006
Last updated
05/07/2009
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