Healthcare Provider Details

I. General information

NPI: 1457326845
Provider Name (Legal Business Name): THOMAS RICHARD CASTIGLIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 02/02/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 ROUTE 22 THE ATRIUM BUILDING, SUITE7
PAWLING NY
12564-3241
US

IV. Provider business mailing address

111 CLOCK TOWER CMNS
BREWSTER NY
10509-4055
US

V. Phone/Fax

Practice location:
  • Phone: 845-855-3610
  • Fax: 845-855-0246
Mailing address:
  • Phone: 845-592-4915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number165845
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: