Healthcare Provider Details

I. General information

NPI: 1003022336
Provider Name (Legal Business Name): CASTLE HILL REHAB AND MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 CASTLE HILL AVE
BRONX NY
10473-1320
US

IV. Provider business mailing address

920 CASTLE HILL AVE
BRONX NY
10473-1320
US

V. Phone/Fax

Practice location:
  • Phone: 718-824-0500
  • Fax: 718-824-2373
Mailing address:
  • Phone: 718-824-0500
  • Fax: 718-824-2373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. GERALD CHARLES
Title or Position: ADMINISTRATOR
Credential:
Phone: 718-824-0500