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General NPI Number Information
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NPI Number | 1700843620
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Entity Type | Individual
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Provider Name | JOSE CASTRO MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 445 LENOX RD
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City | BROOKLYN
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State | NY
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Zip | 11203-2017
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Country | US
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Telephone | 718-270-4122
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Fax |
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Provider Business Mailing Address
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Address Line | 939 ADAMS AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-2210
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Country | US
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Telephone | 516-582-0416
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Fax | 516-673-4685
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 1808591
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License Number State | NY
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