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NPI Code Detail

MEDICARE: ANNA CASTILLEJA

MEDICARE: ANNA CASTILLEJA
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
1104100000XSocial Worker129407NY

General Provider Information

NPI Number : 1649120361
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA CASTILLEJA
Provider Business Mailing Address
First Line : 1704 STATE ST
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-3102
Country : US
Telephone Number : 315-782-7445
Fax Number :
Provider Business Practice Location Address
First Line : 211 JB WISE PL
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-2507
Country : US
Telephone Number : 315-782-7445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ ANNA CASTILLEJA ” Practice Location

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