Healthcare Provider Details

I. General information

NPI: 1033075981
Provider Name (Legal Business Name): MR. ERIN CASTILLO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TELLER AVE
BRONX NY
10456-6182
US

IV. Provider business mailing address

1660 ANDREWS AVE S APT 2K
BRONX NY
10453-7330
US

V. Phone/Fax

Practice location:
  • Phone: 718-588-8349
  • Fax:
Mailing address:
  • Phone: 646-639-1124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14404202
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: