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Dr. Lee W Castellan, DC,CNIM
Electroneurodiagnostic Specialist/Technologist in Staten Island, New York
NPI 1366442311

Lee W Castellan is a Electroneurodiagnostic Specialist/Technologist based in Staten Island, NY and is specialized in Electroneurodiagnostic. Lee W Castellan practices in Staten Island, NY and has the professional credentials of DC,CNIM. The NPI Number for Lee W Castellan is 1366442311 and holds a License No. 010730 (New York).

The current practice location address for Lee W Castellan is 35 Hickory Ct, Staten Island, NY and can be reached out via phone at 718-605-7896.

Location: 35 Hickory Ct, Staten Island, NY, 10309-1632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366442311
Provider Name
Lee W Castellan
Credential
DC,CNIM
Provider Entity Type
Individual
Gender
Male
Address
35 Hickory Ct, Staten Island, NY, 10309-1632
Phone Number
718-605-7896
Fax Number
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010730 01 NY STATE LICENSE NUMBER
38MC00665200 01 NJ NJ LIC.
institution
Provider Business Practice Location Address Details
Address
35 Hickory Ct
City
Staten Island
State
New York
Zip
10309-1632
Phone Number
718-605-7896
Fax Number
person
Provider Business Mailing Address Details
Address
35 Hickory Ct
City
Staten Island
State
New York
Zip
10309-1632
Phone Number
718-605-7896
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
38MC00665200 (New Jersey)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
246ZE0600X
License No.
010730 (New York)
Definition
Definition to come...
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