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General NPI Number Information
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NPI Number | 1770664294
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Entity Type | Individual
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Provider Name | RAPHAEL A CASTILLO MD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 125 W 79TH ST
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City | NEW YORK
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State | NY
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Zip | 10024-6454
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Country | US
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Telephone | 212-785-1059
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Fax | 212-269-2901
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Provider Business Mailing Address
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Address Line | PO BOX 3234
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City | NEW YORK
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State | NY
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Zip | 10008-3234
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Country | US
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Telephone | 646-267-2300
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Fax | 212-269-2901
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 232065-1
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License Number State | NY
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