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MA.LOURDES CASTILLO GONZALESMDPC NPI 1114263332


NPI Information

NPI: 1114263332
Provider Name: MA.LOURDES CASTILLO GONZALES,MD,PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
17013 HILLSIDE AVE
JAMAICA, NY
ZIP 11432
Phone: (516) 472-1710
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MA.LOURDES CASTILLO GONZALES,MD,PC is a specialist in Jamaica, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MA.LOURDES CASTILLO GONZALES,MD,PC NPI is 1114263332. The provider is registered as an organization entity type.

The provider's business location address is:

17013 HILLSIDE AVE
JAMAICA, NY
ZIP 11432-546
Phone: (516) 472-1710

The provider's authorized official is Ma.lourdes C Gonzales .
The authorized official title is Owner/medical Director and has the following contact phone number (516) 472-1710.

The enumeration date for this NPI number is 12/14/2012 and was last updated on 3/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1323P00000XPsychiatric Residential Treatment Facility243713NEW YORKNo
2174400000XSpecialist243713NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103380123MEDICAIDNEW YORK
2243713OTHERNEW YORKLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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