Provider Demographics
NPI:1528173101
Name:CASTELLANO, ARTHUR (MSW)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:CASTELLANO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 ROY AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758
Mailing Address - Country:US
Mailing Address - Phone:516-799-6324
Mailing Address - Fax:516-799-6324
Practice Address - Street 1:5254 MERRICK ROAD SUITE 11
Practice Address - Street 2:NASSAU SHORES PROFESSIONAL BUILDING
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758
Practice Address - Country:US
Practice Address - Phone:516-606-1203
Practice Address - Fax:516-799-6324
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NYR02568511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02358698Medicaid
NY02358698Medicaid