Castle, Stacie K

Castle, Stacie K is an individual health care provider with primary practice located at 2001 Marcus Ave Suite N220, Lake Success NY 11042. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Castle, Stacie K can be contacted via phone (516) 652-2747.

Contact Information

Primary practice address
2001 Marcus Ave Suite N220 Lake Success NY 11042
Phone: (516) 652-2747
Fax: (516) 935-2058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 0023311 New York

Profile Details

NPI number 1366651846
LBN Legal business name Castle, Stacie K
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Oct 7th, 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 1366651846 NPPES
New York Other P2576072 OXFORD
New York Other P2035293003 OXFORD
New York Other 9014E1 OXFORD

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