Rodriguez, Jokathleen Castro

Rodriguez, Jokathleen Castro is an individual health care provider with primary practice located at 2901 216Th Street , Bayside NY 11360-2810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rodriguez, Jokathleen Castro can be contacted via phone (718) 281-8809.

Contact Information

Primary practice address
2901 216Th Street Bayside NY 11360-2810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381601-1 New York

Profile Details

NPI number 1568652014
LBN Legal business name Rodriguez, Jokathleen Castro
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Sep 10th, 2008 - about 18 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 1568652014 NPPES
New York MEDICAID 1568652014

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