Provider Demographics
NPI:1952373516
Name:CASTERMANS, MARIE-PIERRE (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARIE-PIERRE
Middle Name:
Last Name:CASTERMANS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 MASON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2222
Mailing Address - Country:US
Mailing Address - Phone:718-987-7325
Mailing Address - Fax:
Practice Address - Street 1:1091 SUTTER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208
Practice Address - Country:US
Practice Address - Phone:718-647-0800
Practice Address - Fax:718-647-3616
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179346208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics