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NPI Code Detail

MEDICARE: KRISTINA PAULA CASTRO FNP

MEDICARE:   KRISTINA PAULA CASTRO  FNP
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
1363LF0000XFamily Nurse Practitioner351465NY

General Provider Information

NPI Number : 1861174229
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA PAULA CASTRO FNP
Provider Business Mailing Address
First Line : 6402 108TH ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-1604
Country : US
Telephone Number : 718-395-3788
Fax Number :
Provider Business Practice Location Address
First Line : 2715 30TH AVE
Second Line :
City : ASTORIA
State : NY
Zip : 11102-2445
Country : US
Telephone Number : 718-685-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2023
Last Update Date : 06/10/2024

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Directions to “ KRISTINA PAULA CASTRO FNP” Practice Location

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