Provider Demographics
NPI:1700874336
Name:CASTELLANOS, DARIO ROMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DARIO
Middle Name:ROMAN
Last Name:CASTELLANOS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:391 E 149TH ST
Mailing Address - Street 2:SUITE #214
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-3907
Mailing Address - Country:US
Mailing Address - Phone:718-665-8300
Mailing Address - Fax:718-665-8301
Practice Address - Street 1:391 E 149TH ST
Practice Address - Street 2:SUITE #214
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-3907
Practice Address - Country:US
Practice Address - Phone:718-665-8300
Practice Address - Fax:718-665-8301
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2010-04-26
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Provider Licenses
StateLicense IDTaxonomies
NY099171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB87444Medicare UPIN