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Search › New York › 363A00000X

Corey Costa, PA

NPI 1891266102 · on the registry since 2018

Practice

Address
5775 Maelou Dr
Hamburg, NY 14075
Phone
(716) 242-9873
Organisation at this address
Lakewood Health Care Center Inc.
Lakewood Health Care Cntr Pharmacy
5775 Maelou Drive Operating Company Llc
5775 Maelou Drive Operating Company, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-06

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