Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F309707 | NY |
NPI | 1023376613 |
---|---|
Provider Name | Yelitza Castanos |
First Address | Sunnyside, NY 11104-4358 |
Second Address | New York, NY 10032-4103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2012 |
Last Update Date | 01/10/2021 |