Provider Demographics
NPI:1437949807
Name:CASTIGLIONE, PATRICIA VICENTA
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:VICENTA
Last Name:CASTIGLIONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21722 73RD AVE APT 390A2
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2932
Mailing Address - Country:US
Mailing Address - Phone:718-909-1230
Mailing Address - Fax:
Practice Address - Street 1:190 E JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2054
Practice Address - Country:US
Practice Address - Phone:516-320-0405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013563-01225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist