Dr. Carlyle De Castro
Pediatric Emergency Physician
8900 Van Wyck Expressway
Melville
, New York 11747
Dr. Carlyle De Castro
Pediatric Emergency Physician
8900 Van Wyck Expressway
Melville
, New York 11747
(631) 454-4161
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Carlyle De Castro
- 80 Marcus Drive Provider Enrollment - Jhmc Er
- Melville, NY
- Zip : 11747
- Fax : (631) 454-4161
- Phone : (631) 391-7700
Second Address
- Dr. Carlyle De Castro
- 8900 Van Wyck Expressway
- Melville, NY
- Zip : 11747
- Fax : (631) 454-4161
- Phone : (718) 206-6600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 194618 | NY |
National Provider Identifier
| NPI | 1750474441 |
|---|---|
| Provider Name | Dr. Carlyle De Castro |
| First Address | Melville, NY 11747 |
| Second Address | Melville, NY 11747 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01828248 | (05) | NY |
| G25116 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.