Castelli, Robert John

Castelli, Robert John is an sole proprietor health care provider with primary practice located at 8612 Jamaica Ave , Woodhaven NY 11421-2042. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Castelli, Robert John can be contacted via phone (718) 846-7872.

Contact Information

Primary practice address
8612 Jamaica Ave Woodhaven NY 11421-2042
Phone: (718) 846-7872
Fax: (718) 846-6001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X NY004630 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 004630 New York

Profile Details

NPI number 1376549154
LBN Legal business name Castelli, Robert John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2005
Last updated Oct 8th, 2019 - about 5 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 1376549154 NPPES
New York Other NY004630 NY STATE LICENSE NUMBER
New York MEDICAID 01157253 NY STATE LICENSE NUMBER
New York MEDICAID 04196609 NY STATE LICENSE NUMBER
New York Other PO 002040 NY STATE LICENSE NUMBER

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