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General NPI Number Information
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NPI Number | 1417957572
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Entity Type | Individual
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Provider Name | MICHAEL CASTELLANO MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 13 SHERIDAN SQ
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City | NEW YORK
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State | NY
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Zip | 10014-6847
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Country | US
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Telephone | 212-995-6642
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Fax | 212-604-1115
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Provider Business Mailing Address
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Address Line | 201 E 19TH STREET SUITE 10F
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-255-5690
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Fax | 212-604-1115
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 177175
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License Number State | NY
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