MEDICARE: DIANNE GHIRAJ-CASTOR

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1780009712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNE GHIRAJ-CASTOR

Provider Business Mailing Address
First Line	:	44 COURT STREET
Second Line	:	SUITE 1217 PMB97799
City	:	BROOKLYN
State	:	NY
Zip	:	11201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 COURT STREET
Second Line	:	SUITE 1217 PMB97799
City	:	BROOKLYN
State	:	NY
Zip	:	11201
Country	:	US
Telephone Number	:	347-659-6986
Fax Number	:

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

Provider Enumeration Date	:	02/27/2014
Last Update Date	:	09/13/2023

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