Provider Demographics
NPI:1598023277
Name:KASTNER, DONALD GEORGE
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:GEORGE
Last Name:KASTNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 TRATMAN AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3460
Mailing Address - Country:US
Mailing Address - Phone:171-840-9904
Mailing Address - Fax:171-893-1812
Practice Address - Street 1:2555 TRATMAN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3460
Practice Address - Country:US
Practice Address - Phone:171-840-9904
Practice Address - Fax:718-931-8121
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3145751163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse