Provider Demographics
NPI:1417012469
Name:CASTILLO, ARISTEO P (MD)
Entity Type:Individual
Prefix:DR
First Name:ARISTEO
Middle Name:P
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:765 AMSTERDAM AVE
Mailing Address - Street 2:STE 1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5722
Mailing Address - Country:US
Mailing Address - Phone:212-663-3600
Mailing Address - Fax:212-202-3882
Practice Address - Street 1:765 AMSTERDAM AVE
Practice Address - Street 2:STE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5722
Practice Address - Country:US
Practice Address - Phone:212-663-3600
Practice Address - Fax:212-202-3882
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0936642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD47563Medicare UPIN
NY477921Medicare ID - Type Unspecified