Healthcare Provider Details

I. General information

NPI: 1003295825
Provider Name (Legal Business Name): CAITLIN POLICASTRO R.N, M.S.N
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 N GREENWICH RD
ARMONK NY
10504-2311
US

IV. Provider business mailing address

5 N GREENWICH RD
ARMONK NY
10504-2311
US

V. Phone/Fax

Practice location:
  • Phone: 914-898-5858
  • Fax:
Mailing address:
  • Phone: 914-898-5858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF307207
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: