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Heather Castle
Specialist in Port Jefferson Station, New York
NPI 1306209069

Heather Castle is a Specialist based in Port Jefferson Station, NY. Heather Castle practices in Port Jefferson Station, NY. The NPI Number for Heather Castle is 1306209069 and holds a License No. 1311725 (New York).

The current practice location address for Heather Castle is 21 Joline Rd, Port Jefferson Station, NY and can be reached out via phone at 631-948-0245 and via fax at 631-863-9814.

Location: 21 Joline Rd, Port Jefferson Station, NY, 11776-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306209069
Provider Name
Heather Castle
Credential
Provider Entity Type
Individual
Gender
Female
Address
21 Joline Rd, Port Jefferson Station, NY, 11776-3305
Phone Number
631-948-0245
Fax Number
631-863-9814
Provider Enumeration Date
03/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21 Joline Rd
City
Port Jefferson Station
State
New York
Zip
11776-3305
Phone Number
631-948-0245
Fax Number
631-863-9814
person
Provider Business Mailing Address Details
Address
21 Joline Rd
City
Port Jefferson Station
State
New York
Zip
11776-3305
Phone Number
631-948-0245
Fax Number
631-863-9814
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1311725 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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