Castro, Jonathan Manuel Perez

Castro, Jonathan Manuel Perez is an individual health care provider with primary practice located at 2570 Route 9W , Cornwall NY 12518-1323. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Castro, Jonathan Manuel Perez can be contacted via phone (845) 651-1400.

Contact Information

Primary practice address
2570 Route 9W Cornwall NY 12518-1323
Phone: (845) 651-1400
Fax: (845) 651-1512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 002190 New York
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 253533 New York

Profile Details

NPI number 1093709479
LBN Legal business name Castro, Jonathan Manuel Perez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Sep 27th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093709479 NPPES
New York MEDICAID 00472931
New York Other 331832
New York Other A400036561

Popular Providers