Individual
DR. GLENN Y CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 FOX ST., SUITE 102, POUGHKEEPSIE, NY 12601-4723
(845) 452-9750
(845) 452-9751
Mailing address
21 FOX ST., SUITE 102, POUGHKEEPSIE, NY 12601-4723
(845) 452-9750
(845) 452-9751
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
217754
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
217754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01821058
—
NY
Enumeration date
08/15/2005
Last updated
08/08/2012
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