Provider Demographics
NPI:1346429198
Name:CASTORINA, DARIEN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DARIEN
Middle Name:
Last Name:CASTORINA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GAINES ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3525
Mailing Address - Country:US
Mailing Address - Phone:631-901-3353
Mailing Address - Fax:
Practice Address - Street 1:1660 WALT WHITMAN RD
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4159
Practice Address - Country:US
Practice Address - Phone:631-845-8404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist