Provider Demographics
NPI:1952523359
Name:ROBERT CASTORINA PHYSICAL THERAPIST, PC
Entity Type:Organization
Organization Name:ROBERT CASTORINA PHYSICAL THERAPIST, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTORINA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MS, ATC
Authorized Official - Phone:914-747-1112
Mailing Address - Street 1:861 BEDFORD ROAD
Mailing Address - Street 2:GOLDSTEIN HEALTH CENTER SUITE 124
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2724
Mailing Address - Country:US
Mailing Address - Phone:914-747-1112
Mailing Address - Fax:914-747-1114
Practice Address - Street 1:861 BEDFORD ROAD
Practice Address - Street 2:GOLDSTEIN HEALTH CENTER SUITE 124
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2724
Practice Address - Country:US
Practice Address - Phone:914-747-1112
Practice Address - Fax:914-747-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018508225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY437621OtherPROVIDER ID
NY0073439OtherPROVIDER ID
NY10059800OtherPROVIDER ID
NY6606709OtherGHI
NY19532OtherPROVIDER ID
NY133186POtherPROVIDER ID
NY7961667OtherGHI
NYQ20Z81OtherEMPIRE BC BS
NY4C8945OtherHEALTHNET
NY803065OtherPROVIDER ID
NYP2711944OtherOXFORD ID
NYP2711944OtherOXFORD ID