Jonathan Manuel Perez Castro
Internist Endocrinologist (Diabetes Doctor)
2570 Route 9w
Cornwall
, New York 12518-1323
Jonathan Manuel Perez Castro
Internist Endocrinologist (Diabetes Doctor)
2570 Route 9w
Cornwall
, New York 12518-1323
(845) 651-1512
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About
Features
Specialties
- Internist
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Jonathan Manuel Perez Castro
- 2 Coates Dr
- Goshen, NY
- Zip : 10924-6758
- Fax : (845) 651-1512
- Phone : (845) 651-1400
Second Address
- Jonathan Manuel Perez Castro
- 2570 Route 9w
- Cornwall, NY
- Zip : 12518-1323
- Fax : (845) 651-1512
- Phone : (845) 651-1400
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 002190 | NY |
| N | 111NI0900X | Internist | 002190 | NY |
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 253533 | NY |
National Provider Identifier
| NPI | 1093709479 |
|---|---|
| Provider Name | Jonathan Manuel Perez Castro |
| First Address | Goshen, NY 10924-6758 |
| Second Address | Cornwall, NY 12518-1323 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2005 |
| Last Update Date | 27/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00472931 | (05) | NY |
| 331832 | MEDICARE (01) | |
| A400036561 | MEDICARE (01) | |
| I42107 | (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.