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Nicholas Kostishak, PA-C, ATC
NPI 1487085676 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1000 10th Ave # 2a05
New York, NY 10019 - Phone
- (516) 375-6459
Additional practice sites
- 3469 Stephen Ln, Wantagh, NY
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Athletic Trainer
Athletic Trainer - Licence states on file
- NY, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-30
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