Joderick Castillo
Student in an Organized Health Care Education/Training Program in Ithaca, NY. Individual provider (NPI-1).
NPI number1679487474
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1679487474
- Entity type
- Individual (NPI-1)
- Name
- Joderick Castillo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2026
- Certification date
- Sep 29, 2026
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
Practice location
953 Danby RdIthaca, NY 14850-7002
Phone 607-274-3011
Mailing address
4 S Applegate Rd Apt 1Ithaca, NY 14850-9039
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