Provider Demographics
NPI:1568520310
Name:CASTORINA, ROBERT (PT, DPT, MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:CASTORINA
Suffix:
Gender:M
Credentials:PT, DPT, MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 BEDFORD RD
Mailing Address - Street 2:GOLDSTEIN HEALTH & FITNESS CENTER, SUITE 124
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2724
Mailing Address - Country:US
Mailing Address - Phone:914-747-1112
Mailing Address - Fax:914-747-1114
Practice Address - Street 1:861 BEDFORD RD
Practice Address - Street 2:GOLDSTEIN HEALTH & FITNESS CENTER, SUITE 124
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2724
Practice Address - Country:US
Practice Address - Phone:914-747-1112
Practice Address - Fax:914-747-1114
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018508225100000X, 2251X0800X
NY0695024832255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4C8945OtherHEALTHNET
NY19532OtherHUDSON HEALTH
NY803065OtherMPN
NY0073439OtherGHI HMO
NY133186POtherHIP
NY6606709OtherGHI PPO
NYP2711944OtherOXFORD
NYQ20Z81OtherEMPIRE BCBS
NY10059800OtherCDPHP
NY437621OtherMVP
NY7961667OtherAETNA
NYQB6191Medicare ID - Type Unspecified