Castellan, Lee W

Castellan, Lee W is an sole proprietor health care provider with primary practice located at 35 Hickory Ct , Staten Island NY 10309-1632. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic is his primary health care specialty. Castellan, Lee W can be contacted via phone (718) 605-7896.

Contact Information

Primary practice address
35 Hickory Ct Staten Island NY 10309-1632
Phone: (718) 605-7896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 010730 New York
Chiropractic Providers / Chiropractor 111N00000X 38MC00665200 New Jersey
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1366442311
LBN Legal business name Castellan, Lee W
Credentials D.C., CNIM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Mar 23rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366442311 NPPES
New York Other 010730 STATE LICENSE NUMBER
New York Other 38MC00665200 STATE LICENSE NUMBER

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