SearchNew York1041C0700X

Maribeth Costa-Kulesa, LCSW

NPI 1427173251 · on the registry since 2007 · sole proprietor

Practice

Address
23 Senix Ave
Center Moriches, NY 11934
Phone
(631) 965-0674

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-11

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