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NPI Code Detail

MEDICARE: SYLVIA CASTRO LMT

MEDICARE: SYLVIA CASTRO LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist002612CT

General Provider Information

NPI Number : 1235412065
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIA CASTRO LMT
Provider Business Mailing Address
First Line : 6 MAIN ST
Second Line :
City : NEW MILFORD
State : CT
Zip : 06776-2802
Country : US
Telephone Number : 845-629-8529
Fax Number : 845-832-7082
Provider Business Practice Location Address
First Line : 6 MAIN ST
Second Line :
City : NEW MILFORD
State : CT
Zip : 06776-2802
Country : US
Telephone Number : 845-629-8529
Fax Number : 845-832-7082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2011
Last Update Date : 09/28/2011

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Directions to “ SYLVIA CASTRO LMT” Practice Location

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