Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 006503 | NY |
N | 213ES0103X | Foot & Ankle Surgery | 1241 | MA |
NPI | 1083841522 |
---|---|
Provider Name | Diane M Castro |
First Address | New York, NY 10023-7253 |
Second Address | New York, NY 10023-7253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 03/03/2014 |