MEDICARE: MRS. KRISTY ANN CASTALDO

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	235Z00000X	Speech-Language Pathologist	014164	NY

General Provider Information

NPI Number	:	1861644130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTY ANN CASTALDO

Provider Business Mailing Address
First Line	:	496 W WILLIAM ST
Second Line	:
City	:	RYE BROOK
State	:	NY
Zip	:	10573-3557
Country	:	US
Telephone Number	:	914-481-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1053 SAW MILL RIVER RD
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1048
Country	:	US
Telephone Number	:	914-674-0733
Fax Number	:

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

Provider Enumeration Date	:	10/18/2008
Last Update Date	:	10/18/2008

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