Provider Demographics
NPI:1902240518
Name:CASTANO, EKATERINA (MD)
Entity type:Individual
Prefix:DR
First Name:EKATERINA
Middle Name:
Last Name:CASTANO
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 1:60 BALDWIN RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD CORNERS
Mailing Address - State:NY
Mailing Address - Zip Code:10549-4816
Mailing Address - Country:US
Mailing Address - Phone:914-202-7220
Mailing Address - Fax:
Practice Address - Street 1:10 PEARL ST FL 4
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573
Practice Address - Country:US
Practice Address - Phone:914-937-3300
Practice Address - Fax:914-937-3322
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267516-1207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology