Healthcare Provider Details

I. General information

NPI: 1861815367
Provider Name (Legal Business Name): CASTRO & SONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2014
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 ROUTE 17K
NEWBURGH NY
12550-3911
US

IV. Provider business mailing address

PO BOX 2411
NEWBURGH NY
12550-0705
US

V. Phone/Fax

Practice location:
  • Phone: 845-569-4598
  • Fax:
Mailing address:
  • Phone: 845-569-4598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: LORENZO CASTRO
Title or Position: MANAGER
Credential:
Phone: 845-569-4598