DR. GLENN Y CASTANEDA (NPI# 1821090333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821090333 |
| Entity Type | Individual |
| Full Name | DR. GLENN Y CASTANEDA |
| Credential | MD |
| Practice Address |
21 Fox St. Suite 102 Poughkeepsie NY 12601-4723 |
| Practice Telephone | 8454529750 |
| Practice Fax Number | 8454529751 |
| Mailing Telephone | 8454529750 |
| Mailing Fax Number | 8454529751 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
217754 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
217754 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01821058 | 05 |
| Street Address |
21 FOX ST. SUITE 102 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780023093 | Janet Marie Salisbury | Nurse Practitioner | 21 Fox St., Suite 102, Poughkeepsie, NY 12601-4723 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255485645 | Philip J Overby | Psychiatry & Neurology | 21 Fox Street, Suite 102, Poughkeepsie, NY 12601-4723 | 2007-01-22 |
| 1811064520 | Eriver Neurology of New York. LLC | Psychiatry & Neurology | 21 Fox Street, Suite 102, Poughkeepsie, NY 12601-4723 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665971 | Kristen Barbour | Psychiatry & Neurology | 505 E 70th St # 611, New York, NY 10021-4872 | 2018-04-04 |
| 1164940490 | Kashyar Khodabakhsh M.d.p.c. | Psychiatry & Neurology | 260 Middle Neck Rd Apt 1e, Great Neck, NY 11021-1159 | 2017-09-07 |
| 1629452685 | Inge Anita Meijer | Psychiatry & Neurology | 10 Union Sq E Fl 5, Suite 5k, New York, NY 10003-3314 | 2015-07-18 |
| 1457770620 | Rolla Nuoman | Psychiatry & Neurology | 755 N Broadway Ste 540, Sleepy Hollow, NY 10591 | 2014-04-15 |
| 1689093445 | Evelyn Olga Berman | Psychiatry & Neurology | 200 East River Rd, Rochester, NY 14623 | 2014-04-09 |
| 1760809719 | Danielle Brigham | Psychiatry & Neurology | 710 W 168th St Fl 7, New York, NY 10032-3726 | 2014-03-27 |
| 1861767931 | Pascal Saremsky | Psychiatry & Neurology | 2965 Long Beach Rd Ste 200, Oceanside, NY 11572-3255 | 2012-03-21 |
| 1316246978 | Leslie Diane Delfiner | Psychiatry & Neurology | 3415 Bainbridge Ave Fl 4, Bronx, NY 10467-2403 | 2011-03-22 |
| 1104132778 | Prokhorov's Pediatrics and Child Neurology PC | Psychiatry & Neurology | 9817 Queens Blvd, Ll2, Rego Park, NY 11374-3336 | 2010-08-20 |
| 1457679706 | Vijay Vishwanath | Psychiatry & Neurology | 391 Myrtle Ave Ste 1a, Albany, NY 12208-3797 | 2010-05-11 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.