Healthcare Provider Details

I. General information

NPI: 1336086602
Provider Name (Legal Business Name): ANIER JOSE GALINDO CASTILLO RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1262 BOSTON RD STE 2
BRONX NY
10456-3541
US

IV. Provider business mailing address

140 WADSWORTH AVE APT 23
NEW YORK NY
10033-4817
US

V. Phone/Fax

Practice location:
  • Phone: 718-569-7929
  • Fax: 347-590-5482
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN41173
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: