Castaneda, Glenn Y

Castaneda, Glenn Y is an individual health care provider with primary practice located at 21 Fox St. Suite 102, Poughkeepsie NY 12601-4723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Castaneda, Glenn Y can be contacted via phone (845) 452-9750.

Contact Information

Primary practice address
21 Fox St. Suite 102 Poughkeepsie NY 12601-4723
Phone: (845) 452-9750
Fax: (845) 452-9751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 217754 New York
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 217754 New York

Profile Details

NPI number 1821090333
LBN Legal business name Castaneda, Glenn Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 8th, 2012 - 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 1821090333 NPPES
New York MEDICAID 01821058

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