Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N006139-1 | NY |
NPI | 1386609063 |
---|---|
Provider Name | Dr. Michelle Castiello |
First Address | Harrison, NY 10528-1634 |
Second Address | Scarsdale, NY 10583-4523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 10/02/2016 |