Provider Demographics
NPI:1316200850
Name:CASTLE, MARY HILDEGARDE (MS SPED)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:HILDEGARDE
Last Name:CASTLE
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4539 SUNSET BAY RD
Mailing Address - Street 2:
Mailing Address - City:BEMUS POINT
Mailing Address - State:NY
Mailing Address - Zip Code:14712-9629
Mailing Address - Country:US
Mailing Address - Phone:716-450-4274
Mailing Address - Fax:716-386-4274
Practice Address - Street 1:4539 SUNSET BAY RD
Practice Address - Street 2:
Practice Address - City:BEMUS POINT
Practice Address - State:NY
Practice Address - Zip Code:14712-9629
Practice Address - Country:US
Practice Address - Phone:716-450-4274
Practice Address - Fax:716-386-4274
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist