Provider Demographics
NPI:1821810698
Name:CASTELINO, JOYTON
Entity type:Individual
Prefix:
First Name:JOYTON
Middle Name:
Last Name:CASTELINO
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 1:216 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-2328
Mailing Address - Country:US
Mailing Address - Phone:646-549-9231
Mailing Address - Fax:
Practice Address - Street 1:216 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-2328
Practice Address - Country:US
Practice Address - Phone:646-549-9231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician