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NPI Code Detail

MEDICARE: MRS. HILDRED J CASTLE FAMILY NURSE PRACTIT

MEDICARE:  MRS. HILDRED J CASTLE  FAMILY NURSE PRACTIT
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
1364SF0001XFamily Health Clinical Nurse SpecialistF334302-1NY

General Provider Information

NPI Number : 1801042395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HILDRED J CASTLE FAMILY NURSE PRACTIT
Provider Business Mailing Address
First Line : 600 KINGSTON AVE
Second Line : ROOM H 107
City : BROOKLYN
State : NY
Zip : 11203-1704
Country : US
Telephone Number : 718-756-3028
Fax Number : 718-756-3267
Provider Business Practice Location Address
First Line : 600 KINGSTON AVE
Second Line : ROOM H 107
City : BROOKLYN
State : NY
Zip : 11203-1704
Country : US
Telephone Number : 718-756-3028
Fax Number : 718-756-3267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2008
Last Update Date : 08/15/2008

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Directions to “ MRS. HILDRED J CASTLE FAMILY NURSE PRACTIT” Practice Location

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