Individual
CARMEN CASTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 CHURCH ST FL 2, NEW YORK, NY 10013
(212) 334-3774
Mailing address
315 CHURCH ST, FL 2, NEW YORK, NY 10013-2442
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
251509
MA
207N00000X
Dermatology Physician
Primary
284946
NY
207R00000X
Internal Medicine Physician
251509
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2012
Last updated
05/18/2018
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