| Doctor Name: | DR. JOHN CASTRONOVA |
| NPI Number: | 1114172475 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD; LMHC |
| License Number: | 000052-1 |
| Business Practice Address: | 97 Singworth St Oyster Bay, NY - 117713705 |
| Business Phone Number: | 5168025676 |
| Business Fax Number: | |
| Mailing Address: | 97 Singworth St, OYSTER BAY |
| State: | NY |
| Postal Code: | 117713705 |
| Phone Number: | 5168025676 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2008 |
| NPI Last Update Date: | 11/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000052-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |