Costa, Roger A
Costa, Roger A is an sole proprietor health care provider with primary practice located at 165 W End Ave Suite # 1F, New York NY 10023-5503. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Costa, Roger A can be contacted via phone (212) 724-1929.Contact Information
Primary practice address
165 W End Ave Suite # 1F
New York NY 10023-5503
Phone: (212) 724-1929
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | C03900-0 | New York |
Profile Details
| NPI number | 1013056647 |
|---|---|
| LBN Legal business name | Costa, Roger A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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