Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 306897 | NY |
NPI | 1336661362 |
---|---|
Provider Name | Dr. Matthew Castillo |
First Address | Brooklyn, NY 11222-6775 |
Second Address | Flushing, NY 11355-5045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2017 |
Last Update Date | 27/04/2021 |