Kim Decastro in Port Jefferson - Nurse Practitioner
Kim Decastro - NPI 1700941382
Kim Decastro is a Nurse Practitioner in Port Jefferson, New York. Kim Decastro practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kim Decastro is 1700941382. The last update date is 2011-06-29.
Kim Decastro's current location address is 118 N Country Rd, Port Jefferson, New York. You can contact this provider via phone number 6314737171. The mailing address for Kim Decastro is 118 N Country Rd, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kim Decastro |
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Address | 118 N Country Rd, Port Jefferson, New York |
Phone Number | 6314737171 |
Fax Number | |
Sole Proprietor | N |
Credentials | CNP, CNM |
NPI Number Detail
NPI Number | 1700941382 |
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Provider Enumeration Date | 2006-12-26 |
Last Updated Date | 2011-06-29 |
Provider Mailing Address Detail
Address | 118 N Country Rd |
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City | Port Jefferson |
State | New York (NY) |
Post Code | 117772120 |
Phone Number | 6314737171 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | F360326-1 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identification code assigned to Kim Decastro by the Centers for Medicare & Medicaid Services?
The Kim Decastro has been issued the NPI (National Provider Identifier) 1700941382. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kim Decastro located?
The Kim Decastro is located at 118 N Country Rd, Port Jefferson, NY 117772120.
What is Kim Decastro's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kim Decastro is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700941382 to Kim Decastro?
The Centers for Medicare & Medicaid Services assigned the 1700941382 to Kim Decastro on 2006-12-26.
As of what date was the information pertaining to Kim Decastro, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kim Decastro, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-06-29.