Organization
MICHAEL R. CASTELLANO, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R. CASTELLANO M.D. (PRESIDENT/OWNER)
(718) 249-2900
Entity
Organization
Contact information
Practice address
501 SEAVIEW AVE, SUITE 301, STATEN ISLAND, NY 10305-3400
(718) 249-2900
(718) 249-2905
Mailing address
501 SEAVIEW AVE, SUITE 301, STATEN ISLAND, NY 10305-3400
(718) 249-2900
(718) 249-2905
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
209520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE2599
MEDICARE RAILROAD GROUP #
NY
01
—
WES461
MEDICARE GROUP NUMBER
NY
Enumeration date
11/05/2007
Last updated
02/14/2008
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