Individual
MR. ANTHONY W CASTELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2124 CAMP RD, FAR ROCKAWAY, NY 11691-2721
(718) 327-0207
(718) 327-1225
Mailing address
7576 178TH ST, FRESH MEADOWS, NY 11366-1628
(718) 969-3045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006496-1
NY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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