Costello, Carissa Ann

Costello, Carissa Ann is an sole proprietor health care provider with primary practice located at 100 Carman Ave , East Meadow NY 11554-1160. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Costello, Carissa Ann can be contacted via phone (516) 572-3953.

Contact Information

Primary practice address
100 Carman Ave East Meadow NY 11554-1160
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 005335-1 New York

Profile Details

NPI number 1205178167
LBN Legal business name Costello, Carissa Ann
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2013
Last updated May 8th, 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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