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Cecilia R Castro

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305

PECOS Enrollment

This provider is enrolled in PECOS as CECILIA CASTRO.

Based on the most recent information from CMS, provider Cecilia R Castro is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1801856364
Provider Type
Individual
Full Name
Castro, Cecilia R
Title
Mrs.
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
3/27/2006
Last Updated
4/23/2010

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305

(718) 226-6210

Unlisted Fax

Mailing Location

136 Hicks St, Apt #1c, Brooklyn, NY 11201

(718) 596-4943

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 008883 New York

Cecilia R Castro

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Dweck, Virginia Sophia

Cherlenyuk, Yuliya

Pallas, Shirly

Igneri, Tara Marie

Vurmo, Elena

Bruccoleri, Adam R

Bello, Francelli Marie

Liconti, Dorin

Kane, Colleen Mary

Serino, Jessica