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NPI Code Detail

MEDICARE: MRS. CARREEN CASTROLL NP

MEDICARE: MRS. CARREEN CASTROLL NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF401197NY

General Provider Information

NPI Number : 1639313398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARREEN CASTROLL NP
Provider Business Mailing Address
First Line : 3600 ROUTE 112
Second Line :
City : CORAM
State : NY
Zip : 11727-4116
Country : US
Telephone Number : 631-920-8500
Fax Number : 631-920-8501
Provider Business Practice Location Address
First Line : 3600 ROUTE 112
Second Line :
City : CORAM
State : NY
Zip : 11727-4116
Country : US
Telephone Number : 631-920-8500
Fax Number : 631-920-8501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2009
Last Update Date : 04/25/2009

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