MEDICARE: CAROLYN M. CASTIGLIA DO

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	207Q00000X	Family Medicine Physician	210382	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1952389470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN M. CASTIGLIA DO

Provider Business Mailing Address
First Line	:	4042A AUSTIN BLVD
Second Line	:
City	:	ISLAND PARK
State	:	NY
Zip	:	11558-1226
Country	:	US
Telephone Number	:	516-670-8800
Fax Number	:	516-670-8803

Provider Business Practice Location Address
First Line	:	4042A AUSTIN BLVD
Second Line	:
City	:	ISLAND PARK
State	:	NY
Zip	:	11558-1226
Country	:	US
Telephone Number	:	516-670-8800
Fax Number	:	516-670-8803

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	03/18/2008

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