Individual provider · Type 1 NPI

Joderick Castillo

Student in an Organized Health Care Education/Training Program · Ithaca, NY

NPI number 1679487474 Active

Practice location

953 Danby Rd
Ithaca, NY 14850-7002

Call (607) 274-3011 Map

Mailing address

4 S Applegate Rd Apt 1
Ithaca, NY 14850-9039

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679487474

Joderick Castillo's National Provider Identifier is 1679487474, issued on Sep 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ithaca, NY. The record was last updated on Sep 29, 2026.