Gerlando De Castro, PA
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1043479983
StatusActive
Last updated in NPPESDec 4, 2017
Details
- NPI
- 1043479983
- Entity type
- Individual (NPI-1)
- Name
- Gerlando De Castro
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2008
- Last updated
- Dec 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 012513 | NY | Yes |
Practice location
1275 York AveNew York, NY 10065-6007
Phone 212-639-2000 · Fax 516-562-6797
Mailing address
1275 York AveNew York, NY 10065-6007
Phone 212-639-2000
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