Provider Demographics
NPI:1649554536
Name:GUZMAN-DEL CASTILLO, MARIA CECILIA (LPN)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CECILIA
Last Name:GUZMAN-DEL CASTILLO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 WESTVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-3435
Mailing Address - Country:US
Mailing Address - Phone:914-960-2210
Mailing Address - Fax:914-481-1515
Practice Address - Street 1:19 WESTVIEW AVE
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-3435
Practice Address - Country:US
Practice Address - Phone:914-960-2210
Practice Address - Fax:914-481-1515
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6892180164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse