De Castro, Carlyle

De Castro, Carlyle is an individual health care provider with primary practice located at 8900 Van Wyck Expressway , Melville NY 11747. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. De Castro, Carlyle can be contacted via phone (718) 206-6600.

Contact Information

Primary practice address
8900 Van Wyck Expressway Melville NY 11747
Fax: (631) 454-4161
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 194618 New York

Profile Details

NPI number 1750474441
LBN Legal business name De Castro, Carlyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - 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 1750474441 NPPES
New York MEDICAID 01828248

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