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NPI Code Detail

MEDICARE: DEBORAH CASTILLO LPN

MEDICARE:   DEBORAH  CASTILLO  LPN
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
1164W00000XLicensed Practical Nurse303436NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1303436OTHERNYLICENSED PRACTICAL NURSE

General Provider Information

NPI Number : 1316292295
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH CASTILLO LPN
Provider Business Mailing Address
First Line : 3333 82ND ST APT 3B
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-1421
Country : US
Telephone Number : 347-730-3213
Fax Number :
Provider Business Practice Location Address
First Line : 3333 82ND ST
Second Line : APT 3B
City : JACKSON HEIGHTS
State : NY
Zip : 11372-1446
Country : US
Telephone Number : 347-730-3213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2012
Last Update Date : 07/17/2012

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Directions to “ DEBORAH CASTILLO LPN” Practice Location

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