Provider Demographics
NPI:1134180326
Name:DE CASTRO, CARLO (PT)
Entity type:Individual
Prefix:MR
First Name:CARLO
Middle Name:
Last Name:DE CASTRO
Suffix:
Gender:M
Credentials:PT
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Other - Last Name:
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Mailing Address - Street 1:63 DOWNING ST FRNT 1
Mailing Address - Street 2:NYU LANGONE ORTHOPAEDIC HOSPITAL - OIOC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2047
Mailing Address - Country:US
Mailing Address - Phone:212-255-6690
Mailing Address - Fax:212-652-1940
Practice Address - Street 1:63 DOWNING ST FRNT 1
Practice Address - Street 2:NYU LANGONE ORTHOPAEDIC HOSPITAL - OIOC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2047
Practice Address - Country:US
Practice Address - Phone:212-255-6690
Practice Address - Fax:212-652-1940
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY022686225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist