Castillo, Alfredo

Castillo, Alfredo is an individual health care provider with primary practice located at 9033 Elmhurst Ave , Jackson Heights NY 11372-7935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Castillo, Alfredo can be contacted via phone (718) 457-7000.

Contact Information

Primary practice address
9033 Elmhurst Ave Jackson Heights NY 11372-7935
Phone: (718) 457-7000
Fax: (718) 899-4955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 209191 New York

Profile Details

NPI number 1558357970
LBN Legal business name Castillo, Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Feb 8th, 2013 - about 13 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 1558357970 NPPES
New York Other 112990594 TAX ID
New York MEDICAID 01828188 TAX ID

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