MEDICARE: JOSHUA M DECASTRO

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
1	225700000X	Massage Therapist	033044	NY

General Provider Information

NPI Number	:	1871452532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA M DECASTRO

Provider Business Mailing Address
First Line	:	8773 52ND AVE
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-3905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8773 52ND AVE APT 1A
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-3906
Country	:	US
Telephone Number	:	347-907-5535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ JOSHUA M DECASTRO ” Practice Location

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