Search › New York › 1041C0700X
Courtney Costello, LCSW
NPI 1710334545 · on the registry since 2016 · sole proprietor
Practice
- Address
- 750 Waverly Ave
Holtsville, NY 11742 - Phone
- (631) 218-4115
- Clinicians at this address
- 5
Additional practice sites
- 3600 Ny-112, Coram, NY
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
104100000X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-05-11
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