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General NPI Number Information
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NPI Number | 1831379098
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Entity Type | Organization
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Legal Business Name | MICHAEL R. CASTELLANO, MD, PC
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 501 SEAVIEW AVE SUITE 301
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3400
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Country | US
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Telephone | 718-249-2900
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Fax | 718-249-2905
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Provider Business Mailing Address
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Address Line | 501 SEAVIEW AVE SUITE 301
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3400
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Country | US
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Telephone | 718-249-2900
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Fax | 718-249-2905
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MICHAEL R. CASTELLANO
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Credential | M.D.
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Telephone | 718-249-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 209520
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License Number State | NY
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