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Patrick Costello
NPI 1326762774 · on the registry since 2022 · sole proprietor
Practice
- Address
- 393 Manhattan Ave
Brooklyn, NY 11211 - Phone
- (339) 933-2890
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-29
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