Dr Judith D Castro, DC | |
2052 Richmond Rd, Staten Island, NY 10306-2583 | |
(347) 731-8020 | |
Not Available |
Full Name | Dr Judith D Castro |
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Gender | Female |
Speciality | Chiropractor |
Location | 2052 Richmond Rd, Staten Island, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346224219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X010179 (New York) | Primary |
Provider Name | New York Chiropractic Family Care Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841062403 PECOS PAC ID: 6507217494 Enrollment ID: O20240104002304 |
Mailing Address | Practice Location Address |
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Dr Judith D Castro, DC 441 Corbin Ave, Staten Island, NY 10308-1875 Ph: (347) 731-8020 | Dr Judith D Castro, DC 2052 Richmond Rd, Staten Island, NY 10306-2583 Ph: (347) 731-8020 |
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