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NPI 1437949807

NPI 1437949807 : PATRICIA VICENTA CASTIGLIONE : MINEOLA, NY

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General NPI Number Information
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    NPI Number           |    1437949807
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA VICENTA CASTIGLIONE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/08/2025
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    Last Update Date     |    05/08/2025
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Provider Practice Location Address
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    Address Line         |    190 E JERICHO TPKE 
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    City                 |    MINEOLA
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    State                |    NY
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    Zip                  |    11501-2054
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    Country              |    US
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    Telephone            |    516-320-0405
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    21722 73RD AVE APT 390A2 
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    City                 |    OAKLAND GARDENS
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    State                |    NY
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    Zip                  |    11364-2932
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    Country              |    US
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    Telephone            |    718-909-1230
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    013563-01
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    License Number State |    NY
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