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1609175538 NPI number — NESTOR A CASTILLO SR. SW

NPI Number: 1609175538
Health Care Provider/Practitioner: NESTOR A CASTILLO SR. SW

Information about “1609175538” NPI (NESTOR A CASTILLO SR. SW) exists in 1609175538 in HTML format HTML  |  1609175538 in plain Text format TXT  |  1609175538 in PDF (Portable Document Format) PDF  |  1609175538 in an XML format XML  formats.

NPI Number : 1609175538 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609175538",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CASTILLO",
    "FirstName": "NESTOR",
    "MiddleName": "A",
    "NamePrefix": "MR.",
    "NameSuffix": "SR.",
    "Credential": "SW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CASTILLO",
    "OtherFirstName": "NESTOR",
    "OtherMiddleName": "A",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": "SR.",
    "OtherCredential": "SW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2861 BAINBRIDGE AVE",
    "SecondLineMailingAddress": "APARTMENT #2",
    "MailingAddressCityName": "BRONX",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10458-2803",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-329-9773",
    "MailingAddressFaxNumber": "718-329-9773",
    "FirstLinePracticeLocationAddress": "462 1ST AVE",
    "SecondLinePracticeLocationAddress": "FLOOR 19 NORTH 47",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10016-9198",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-562-8734",
    "PracticeLocationAddressFaxNumber": "212-562-2348",
    "EnumerationDate": "03/17/2011",
    "LastUpdateDate": "03/17/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "072002-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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