Decastro, Mark

Decastro, Mark is an sole proprietor health care provider with primary practice located at 1 Hawk Dr , New Paltz NY 12561-2447. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Decastro, Mark can be contacted via phone (845) 257-3913.

Contact Information

Primary practice address
1 Hawk Dr New Paltz NY 12561-2447
Phone: (845) 257-3913
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X New York

Profile Details

NPI number 1588792873
LBN Legal business name Decastro, Mark
Credentials M.ED., A.T.C., CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 18 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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