Provider Demographics
NPI:1639941305
Name:CASTELLI, DANIELA (FNP)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:CASTELLI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 WALL ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2186
Mailing Address - Country:US
Mailing Address - Phone:631-351-2024
Mailing Address - Fax:631-271-0970
Practice Address - Street 1:224 WALL ST STE 101
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2186
Practice Address - Country:US
Practice Address - Phone:631-351-2024
Practice Address - Fax:631-271-0970
Is Sole Proprietor?:No
Enumeration Date:2023-10-26
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF352266-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily