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Individual

MR. MARIO E CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NYS HIS

Contact information

Practice address
419 W HILLS RD, MELVILLE, NY 11747-1045
(917) 513-7741
(631) 683-5638
Mailing address
419 W HILLS RD, MELVILLE, NY 11747-1045
(917) 513-7741
(631) 683-5638

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000038452
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14000038452
NYS LISC
NY
Enumeration date
04/08/2019
Last updated
04/08/2019
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