Provider Demographics
NPI:1457696668
Name:FRANK X CASTELLANO MD PC
Entity Type:Organization
Organization Name:FRANK X CASTELLANO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MDPC
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:XAVIER
Authorized Official - Last Name:CASTELLANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:914-237-6661
Mailing Address - Street 1:61 BRONX RIVER RD
Mailing Address - Street 2:APT 1G
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-4462
Mailing Address - Country:US
Mailing Address - Phone:914-237-6661
Mailing Address - Fax:914-237-6662
Practice Address - Street 1:61 BRONX RIVER RD
Practice Address - Street 2:APT 1G
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-4462
Practice Address - Country:US
Practice Address - Phone:914-237-6661
Practice Address - Fax:914-237-6662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080194-1207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY167531Medicare UPIN
NY1730308347Medicare UPIN