Search › New York › 363LP2300X
Anna Custodio, AGPCNP-BC
NPI 1275149106 · on the registry since 2020
Practice
- Address
- 480 Main St Apt 3g
New York, NY 10044 - Phone
- (845) 521-2887
Additional practice sites
- 535 East 73rd St, New York, NY
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York