Jahaira Castro
Individual provider Active NPI Licensed Practical Nurse · Haverstraw, NY
NPI 1255686705 · NPPES record last updated Jul 20, 2012
Key facts
- NPI
- 1255686705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 307332 (NY)
- Practice address
- 161 Coolidge St
Haverstraw, NY 10927-1034 - Phone
- (845) 406-5555
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307332 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 307332 | NY | Yes |
Addresses
Primary practice location
161 Coolidge St
Haverstraw, NY 10927-1034
Mailing address
161 Coolidge St
Haverstraw, NY 10927-1034
Other providers in Haverstraw, NY
- Paul B Bloom
- Wendy Boisrond
- Dania Boncoeur
- Tatiyana Bredin
- Gilbert C Carlevaro Jr.
- Centro de Amigos, LLC
- Susan Jacob Cherian
- Choice Home Care Co Inc
- Matthew Cohen
- Carmen I Cruz
All providers in Haverstraw, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.