NPI | 1376549154 |
---|---|
Other Name | ROBERT JOHN CASTELLI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NY 004630) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY ny004630) |
Enumeration Date | 2005-06-25 |
Last Update Date | 2019-10-08 |