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NPI Code Detail

MEDICARE: LILIA CASTILLEJO

MEDICARE: LILIA CASTILLEJO
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
11041S0200XSchool Social Worker
21041C0700XClinical Social Worker088724NY

General Provider Information

NPI Number : 1770803231
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIA CASTILLEJO
Provider Business Mailing Address
First Line : 485 N CLINTON AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-1817
Country : US
Telephone Number : 585-325-7828
Fax Number : 585-324-7620
Provider Business Practice Location Address
First Line : 485 N CLINTON AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-1817
Country : US
Telephone Number : 585-325-7828
Fax Number : 585-324-7620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2010
Last Update Date : 05/31/2024

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Directions to “ LILIA CASTILLEJO ” Practice Location

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