Costa-Kulesa, Maribeth

Costa-Kulesa, Maribeth is an sole proprietor health care provider with primary practice located at 23 Senix Ave , Center Moriches NY 11934-2902. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Costa-Kulesa, Maribeth can be contacted via phone (631) 965-0674.

Contact Information

Primary practice address
23 Senix Ave Center Moriches NY 11934-2902
Phone: (631) 965-0674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 068162 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 079593 New York

Profile Details

NPI number 1427173251
LBN Legal business name Costa-Kulesa, Maribeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Mar 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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