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General NPI Number Information
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NPI Number | 1255463600
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Entity Type | Individual
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Provider Name | JOHN CASTRONOVO MD
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2527 CROPSEY AVE
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City | BROOKLYN
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State | NY
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Zip | 11214
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Country | US
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Telephone | 718-946-5802
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Fax |
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Provider Business Mailing Address
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Address Line | 83 PANCOAST ROAD
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City | WARETOWN
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State | NJ
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Zip | 08758
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Country | US
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Telephone | 609-971-8151
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 129083
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License Number State | NY
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