Provider Demographics
NPI:1851650535
Name:CASTRO, ARTURO MEDINA
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:MEDINA
Last Name:CASTRO
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 1:225 GREENFIELD PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-6656
Mailing Address - Country:US
Mailing Address - Phone:315-451-6911
Mailing Address - Fax:
Practice Address - Street 1:225 GREENFIELD PKWY STE 105
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-6656
Practice Address - Country:US
Practice Address - Phone:315-451-6911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127604207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology