Healthcare Provider Details

I. General information

NPI: 1518317627
Provider Name (Legal Business Name): MARINO ANTONIO CASTRO JR. MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RADISSON PLZ 8TH FL
NEW ROCHELLE NY
10801-5766
US

IV. Provider business mailing address

142 ALTA AVE
YONKERS NY
10705-1413
US

V. Phone/Fax

Practice location:
  • Phone: 914-980-1548
  • Fax:
Mailing address:
  • Phone: 914-484-0126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number010119
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: