Healthcare Provider Details

I. General information

NPI: 1346556404
Provider Name (Legal Business Name): FRANCOISE MARIE CASTELLANOS-ROSS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 BERGEN ST APARTMENT #1
BROOKLYN NY
11201-6310
US

IV. Provider business mailing address

90 BERGEN ST APARTMENT #1
BROOKLYN NY
11201-6310
US

V. Phone/Fax

Practice location:
  • Phone: 212-426-3455
  • Fax: 917-484-4433
Mailing address:
  • Phone: 212-426-3455
  • Fax: 917-484-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number058234-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: