Costa, Michael Leonard

Costa, Michael Leonard is an individual health care provider with primary practice located at 2572 43Rd St , Astoria NY 11103-2509. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Costa, Michael Leonard can be contacted via phone (516) 670-5325.

Contact Information

Primary practice address
2572 43Rd St Astoria NY 11103-2509
Phone: (516) 670-5325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X New York

Profile Details

NPI number 1205401007
LBN Legal business name Costa, Michael Leonard
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2021
Last updated May 24th, 2021 - about 3 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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