Healthcare Provider Details
I. General information
NPI: 1568366649
Provider Name (Legal Business Name): APRIL CASTILLO MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
82 CALIFORNIA AVE
BAY SHORE NY
11706-4504
US
IV. Provider business mailing address
82 CALIFORNIA AVE
BAY SHORE NY
11706-4504
US
V. Phone/Fax
- Phone: 631-662-6830
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083P0901X |
| Taxonomy | Public Health & General Preventive Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
APRIL
CASTILLO
Title or Position: OWNER
Credential: MD
Phone: 631-662-6830