Castellanos, Robert

Castellanos, Robert is an sole proprietor health care provider with primary practice located at 14 Kennedy Pkwy , Cortland NY 13045-1435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Castellanos, Robert can be contacted via phone (607) 756-9941.

Contact Information

Primary practice address
14 Kennedy Pkwy Cortland NY 13045-1435
Fax: (607) 756-2907
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 164338 New York

Profile Details

NPI number 1194831610
LBN Legal business name Castellanos, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated May 8th, 2008 - about 17 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 1194831610 NPPES
New York MEDICAID 01042259

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