Decastro, Kim

Decastro, Kim is an individual health care provider with primary practice located at 118 N Country Rd , Port Jefferson NY 11777-2120. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Decastro, Kim can be contacted via phone (631) 473-7171.

Contact Information

Primary practice address
118 N Country Rd Port Jefferson NY 11777-2120
Phone: (631) 473-7171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F360326-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000792-1 New York

Profile Details

NPI number 1700941382
LBN Legal business name Decastro, Kim
Credentials CNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jun 29th, 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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