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NPI Code Detail

MEDICARE: DR. OTHONIEL CASTRO MD

MEDICARE:  DR. OTHONIEL  CASTRO  MD
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
12084N0400XNeurology Physician173854NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750380242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OTHONIEL CASTRO MD
Provider Business Mailing Address
First Line : 535 MAIN ST
Second Line :
City : OLEAN
State : NY
Zip : 14760-1513
Country : US
Telephone Number : 716-372-0141
Fax Number : 716-376-2351
Provider Business Practice Location Address
First Line : 535 MAIN ST
Second Line :
City : OLEAN
State : NY
Zip : 14760-1513
Country : US
Telephone Number : 716-372-0141
Fax Number : 716-376-2351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 02/08/2016

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Directions to “ DR. OTHONIEL CASTRO MD” Practice Location

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