Provider Demographics
NPI:1396793527
Name:CASTELLANO, JOSEPH (AUD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:CASTELLANO
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 350060
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-0060
Mailing Address - Country:US
Mailing Address - Phone:718-646-3372
Mailing Address - Fax:718-646-4762
Practice Address - Street 1:1671 SHEEPSHEAD BAY RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3804
Practice Address - Country:US
Practice Address - Phone:718-646-3372
Practice Address - Fax:718-646-4762
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY719231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00323033Medicaid
NYM00811Medicare PIN
NYS30188Medicare UPIN