Provider Demographics
NPI:1457326845
Name:CASTIGLIA, THOMAS RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:RICHARD
Last Name:CASTIGLIA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:111 CLOCK TOWER CMNS
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-4055
Mailing Address - Country:US
Mailing Address - Phone:845-592-4915
Mailing Address - Fax:
Practice Address - Street 1:198 ROUTE 22
Practice Address - Street 2:THE ATRIUM BUILDING, SUITE7
Practice Address - City:PAWLING
Practice Address - State:NY
Practice Address - Zip Code:12564-3241
Practice Address - Country:US
Practice Address - Phone:845-855-3610
Practice Address - Fax:845-855-0246
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY165845207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01453227Medicaid
NYA400002849Medicare PIN