Costabile, David J

Costabile, David J is an individual health care provider with primary practice located at 22 Saw Mill River Rd 2Nd Floor, Hawthorne NY 10532-1533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Costabile, David J can be contacted via phone (914) 366-0015.

Contact Information

Primary practice address
22 Saw Mill River Rd 2Nd Floor Hawthorne NY 10532-1533
Fax: (914) 366-0012
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 221548 New York

Profile Details

NPI number 1669441499
LBN Legal business name Costabile, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 23rd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669441499 NPPES
New York MEDICAID 02543460

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