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Dr. Nicole Melissa Castro, DO

Student in an Organized Health Care Education/Training Program in Riverhead, NY. Individual provider (NPI-1).

NPI number1003676792
StatusActive
Last updated in NPPESJun 19, 2024

Details

NPI
1003676792
Entity type
Individual (NPI-1)
Name
Dr. Nicole Melissa Castro
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Mar 20, 2024
Certification date
Jun 19, 2024
Last updated
Jun 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1 Heroes Way
Riverhead, NY 11901-2054

Phone 631-548-6446

Mailing address

1 Heroes Way
Riverhead, NY 11901-2054

Phone 631-548-6446

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