Healthcare Provider Details

I. General information

NPI: 1831940733
Provider Name (Legal Business Name): MRS. LINDSEY CASTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2024
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 STEWART AVE STE 700
GARDEN CITY NY
11530-4785
US

IV. Provider business mailing address

67 WILLIAM ST
ROCKVILLE CENTRE NY
11570-2527
US

V. Phone/Fax

Practice location:
  • Phone: 516-280-7285
  • Fax:
Mailing address:
  • Phone: 516-220-5884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: