Provider Demographics
NPI:1801042395
Name:CASTLE, HILDRED J (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:MRS
First Name:HILDRED
Middle Name:J
Last Name:CASTLE
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 KINGSTON AVE
Mailing Address - Street 2:ROOM H 107
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1704
Mailing Address - Country:US
Mailing Address - Phone:718-756-3028
Mailing Address - Fax:718-756-3267
Practice Address - Street 1:600 KINGSTON AVE
Practice Address - Street 2:ROOM H 107
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1704
Practice Address - Country:US
Practice Address - Phone:718-756-3028
Practice Address - Fax:718-756-3267
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334302-1364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health