| Doctor Name: | MYRELLE BAQUIRAN CASTRO |
| NPI Number: | 1639216179 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 253529 |
| Business Practice Address: | 2570 Route 9w Suite 4 Cornwall, NY - 125181323 |
| Business Phone Number: | 8455341505 |
| Business Fax Number: | 8455341504 |
| Mailing Address: | 2 Coates Dr, GOSHEN |
| State: | NY |
| Postal Code: | 109246758 |
| Phone Number: | 8456511400 |
| Fax Number: | 8456511512 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 09/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0201X |
| License Number: | 253529 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Allergy & Immunology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |