Individual
ALEXIS CASTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 E 229TH ST, BRONX, NY 10466-5851
(718) 405-7060
Mailing address
6145 98TH ST APT 2J, REGO PARK, NY 11374-1427
(347) 724-0953
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009344
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16030122200
—
NY
Enumeration date
02/15/2018
Last updated
02/15/2018
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