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Individual

MRS. ILENE SUE CASTALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP C

Contact information

Practice address
2070 ROUTE 52, EAST FISHKILL, NY 12533-3507
(845) 894-5247
Mailing address
2 FARM MEADOW LN, MONTGOMERY, NY 12549-2100
(845) 220-8331

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3344901
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02635129
NY
Enumeration date
10/03/2005
Last updated
02/27/2023
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