Provider Demographics
NPI:1740357433
Name:CASTELLANO, JOSEPH THOMAS (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:THOMAS
Last Name:CASTELLANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7405 NEW UTRECHT AVENUE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-5140
Mailing Address - Country:US
Mailing Address - Phone:718-236-8886
Mailing Address - Fax:718-236-8999
Practice Address - Street 1:121 PARKINSON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-1425
Practice Address - Country:US
Practice Address - Phone:718-236-8886
Practice Address - Fax:718-236-8999
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX2091111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation