MEDICARE: MR. ERIN CASTILLO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	14404202	NY

General Provider Information

NPI Number	:	1033075981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIN CASTILLO

Provider Business Mailing Address
First Line	:	1660 ANDREWS AVE S APT 2K
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10453-7330
Country	:	US
Telephone Number	:	646-639-1124
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 TELLER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-6182
Country	:	US
Telephone Number	:	718-588-8349
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ MR. ERIN CASTILLO ” Practice Location

Language	Start Address	Practice Location

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