| Richard S Castaldo Md, Pc | |
|
533 Niagara St Tonawanda NY 14150-1810 | |
| (716) 743-5450 | |
| (716) 743-5455 |
| Full Name | Richard S Castaldo Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 533 Niagara St, Tonawanda, New York |
| Authorized Official Name and Position | Richard S Castaldo (OWNER) |
| Authorized Official Contact | 7167435450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S Castaldo Md, Pc 533 Niagara St Tonawanda NY 14150-1810 Ph: (716) 743-5450 | Richard S Castaldo Md, Pc 533 Niagara St Tonawanda NY 14150-1810 Ph: (716) 743-5450 |
| NPI Number | 1225222169 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225222169 | NPI | - | NPPES |
| 01343911 | Medicaid | NY | |
| GRP512142001 | Other | NY | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 188421-1 (New York) | Primary |
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