=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457696668
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANK X CASTELLANO MD PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/29/2012
-----------------------------------------------------
Last Update Date | 02/19/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 61 BRONX RIVER RD APT 1G
-----------------------------------------------------
City | YONKERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10704-4462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-237-6661
-----------------------------------------------------
Fax | 914-237-6662
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 61 BRONX RIVER RD APT 1G
-----------------------------------------------------
City | YONKERS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10704-4462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-237-6661
-----------------------------------------------------
Fax | 914-237-6662
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MDPC
-----------------------------------------------------
Name | DR. FRANK XAVIER CASTELLANO
-----------------------------------------------------
Credential | MD PC
-----------------------------------------------------
Telephone | 914-237-6661
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207K00000X
-----------------------------------------------------
Taxonomy Name | Allergy & Immunology Physician
-----------------------------------------------------
License Number | 080194-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------