Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 287786 | NY |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 287786 | NY |
NPI | 1497296347 |
---|---|
Provider Name | Pablo Castaneda |
First Address | New York, NY 10003-3804 |
Second Address | New York, NY 10003-3804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2017 |
Last Update Date | 02/03/2021 |