Castronova, John P

Castronova, John P is an individual health care provider with primary practice located at 79 Ave U , Brooklyn NJ 07012. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Castronova, John P can be contacted via phone (718) 373-6707.

Contact Information

Primary practice address
79 Ave U Brooklyn NJ 07012
Phone: (718) 373-6707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 057351 New York
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 22DI02562700 New Jersey

Profile Details

NPI number 1366721573
LBN Legal business name Castronova, John P
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Apr 9th, 2022 - about 2 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 1366721573 NPPES
New York MEDICAID 04108210
New York MEDICAID 0442453

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