Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | AAPC195 | VA |
N | 101YP2500X | Professional Counselor | 002819-1 | NY |
NPI | 1093867780 |
---|---|
Provider Name | Dr. Serge A Castigliano |
First Address | Putnam Valley, NY 10579-1504 |
Second Address | Mineola, NY 11501-2712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 08/07/2007 |