Yesica Castro
Licensed Practical Nurse in Bay Shore, NY. Individual provider (NPI-1).
NPI number1124428040
StatusActive
Last updated in NPPESAug 27, 2014
Details
- NPI
- 1124428040
- Entity type
- Individual (NPI-1)
- Name
- Yesica Castro
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2014
- Last updated
- Aug 27, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 305961-1 | NY | Yes |
Practice location
1639 E 3rd AveBay Shore, NY 11706-2537
Phone 631-559-0318
Mailing address
1639 E 3rd AveBay Shore, NY 11706-2537
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 116 Licensed Practical Nurse providers in Bay Shore · All 2,254 providers in Bay Shore
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