Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 1982201 | NY |
NPI | 1003891896 |
---|---|
Provider Name | Gregory J Castiglia |
First Address | Williamsville, NY 14221-7183 |
Second Address | Williamsville, NY 14221-7183 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 15/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00020521001 | UNIVERA HEALTHCARE (01) | NY |
000525616001 | BLUE CROSS/BLUE SHIELD (01) | NY |
01934587 | (05) | NY |
0610627 | INDEPENDENT HEALTH (01) | NY |
140006487 | RAILROAD MEDICARE (01) | |
G97240 | (02) |