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Contact Information

STACIE K CASTLE, RD
2001 MARCUS AVE
SUITE N220
LAKE SUCCESS, NY11042
 Phone: 516-652-2747
 Fax: 516-935-2058
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for STACIE K CASTLE · (Female)

NPI Number 1366651846
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 05/22/2007
Last updated 10/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 0023311
  • NY Other 9014E1 EMPIRE BLUE CROSS BLUE SHIELD
  • NY Other P2576072 OXFORD
  • NY Other P2035293003 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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