MEDICARE: VERONICA CASTRO PA-C

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	363A00000X	Physician Assistant	025578-01	NY

General Provider Information

NPI Number	:	1821694449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA CASTRO PA-C

Provider Business Mailing Address
First Line	:	212 VERNON VALLEY RD
Second Line	:
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-1155
Country	:	US
Telephone Number	:	914-320-3997
Fax Number	:

Provider Business Practice Location Address
First Line	:	558 LARKFIELD RD
Second Line	:
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-4204
Country	:	US
Telephone Number	:	631-486-7459
Fax Number	:

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

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	03/22/2023

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Directions to “ VERONICA CASTRO PA-C” Practice Location

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