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Derek Castro II
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1093317083

Derek Castro II is a Student in an Organized Health Care Education/Training Program based in North Baldwin, NY. Derek Castro II practices in Stony Brook, NY. The NPI Number for Derek Castro II is 1093317083 and holds a License No. (New York).

The current practice location address for Derek Castro II is 100 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-632-6000.

Location: 100 Nicolls Rd, Stony Brook, NY, 11510-2750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093317083
Provider Name
Derek Castro II
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Nicolls Rd, Stony Brook, NY, 11510-2750
Phone Number
631-632-6000
Fax Number
Provider Enumeration Date
11/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-632-6000
Fax Number
person
Provider Business Mailing Address Details
Address
100 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-632-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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